Organization
BECVAR OPTOMETRY, LLC
Active
Other names
Diamond Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN GERARD BECVAR O.D. (OWNER)
(573) 893-4223
Entity
Organization
Contact information
Practice address
823 EASTLAND DR, JEFFERSON CITY, MO 65101-3893
(573) 893-4223
(573) 893-6214
Mailing address
823 EASTLAND DR, JEFFERSON CITY, MO 65101-3893
(573) 893-4223
(573) 893-6214
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2004020693
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504030008
—
MO
Enumeration date
02/22/2007
Last updated
07/25/2013
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