Organization
MISSOURI EYE INSTITUTE OF BRANSON LLC
Active
Parent organization
MISSOURI EYE INSTITUTE LLC
Other names
Missouri Eye Institute of Branson LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSOURI EYE INSTITUTE LLC
Authorized official
DANIEL R OSBORN MD (OWNER)
(417) 887-3900
Entity
Organization
Contact information
Practice address
1000 JAMES F EPPS ROAD, STE 2, BRANSON, MO 65616
(417) 334-5752
(417) 334-5765
Mailing address
1531 EAST BRADFORD PARKWAY STE 100, SPRINGFIELD, MO 65804-6539
(417) 887-3900
(417) 828-2894
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015311
MEDICARE PTAN
MO
01
—
1932232345
NPI
MO
Enumeration date
03/14/2007
Last updated
03/20/2024
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