Organization
EYECARE PROFESSIONALS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELTON L FAST OD (PRES OF CORP)
(417) 667-3076
Entity
Organization
Contact information
Practice address
111 N MAIN ST, NEVADA, MO 64772-2330
(417) 667-3076
(417) 667-8690
Mailing address
111 N MAIN ST, NEVADA, MO 64772-2330
(417) 667-3076
(417) 667-8690
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
12/11/2007
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