Organization
JARVIS FAMILY EYE CENTER, LLC
Active
Other names
Jarvis Family Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVON PAUL JARVIS O.D. (OWNER/SOLE MEMBER)
(417) 742-2733
Entity
Organization
Contact information
Practice address
302 PROCTER RD, WILLARD, MO 65781-9144
(417) 742-2733
(417) 742-2237
Mailing address
302 PROCTER RD, WILLARD, MO 65781-9144
(508) 837-3790
(417) 742-2237
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2005020864
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317178408
—
MO
Enumeration date
05/27/2008
Last updated
06/11/2020
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