Organization
INNOVATIVE EYECARE LLC
Active
Other names
Innovative Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA ANN LARCOM O.D. (OPTOMETRIST/OWNER)
(816) 444-2393
Entity
Organization
Contact information
Practice address
8025 STATE LINE RD, KANSAS CITY, MO 64114-2016
(816) 444-2393
(816) 444-2394
Mailing address
8025 STATE LINE RD, KANSAS CITY, MO 64114-2016
(816) 444-2393
(816) 444-2394
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3126
MO
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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