Organization
VISION STREET EYE CARE LLC
Active
Other names
Sago and Street Eye Care, Sago & Street Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON T STREET OD (OWNER OPTOMETRIST)
(573) 756-3170
Entity
Organization
Contact information
Practice address
102 WESTMOUNT DR., FARMINGTON, MO 63640-0829
(573) 756-3170
(573) 756-0173
Mailing address
102 WESTMOUNT DR, FARMINGTON, MO 63640-2970
(573) 756-3170
(573) 756-0173
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2000160791
MO
152W00000X
Optometrist
T02599
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/28/2006
Last updated
06/12/2023
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