Organization
AURORA FAMILY VISION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN NEGRE (OWNER/DOCTOR)
(417) 678-1177
Entity
Organization
Contact information
Practice address
320 S MADISON AVE, AURORA, MO 65605-1569
(417) 678-1177
Mailing address
320 S MADISON AVE, AURORA, MO 65605-1569
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
T03480
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314723206
—
MO
01
—
350049029
PALMETTO MEDICARE
—
Enumeration date
02/19/2008
Last updated
11/11/2010
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