417 Eyes A Series Llc

NPI 1386036721 - Optometrist - 152W00000X

NPI Details
NPI 1386036721
Enumeration Date 02/23/2015
Last Updated 02/23/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DANIEL E. DANIEL
Position OWNER/ OPTOMETRIST
Phone (417) 859-2010
Fax (417) 859-2038
Practice Location
1100 SPUR DR
SUITE 220
MARSHFIELD MO, 65706-2261, US
Phone (417) 859-2010
Fax (417) 859-2038
Business Location
1100 SPUR DR
SUITE 220
MARSHFIELD MO, 65706-2261, US
Phone (417) 859-2010
Fax (417) 859-2038
Toxanomy
Taxonomy Code 152W00000X
License State Missouri
License Number T03007
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According to our database, 417 Eyes A Series Llc NPI is 1386036721, taxonomy code is 152W00000X and license number is T03007, license state is located at Missouri. 417 Eyes A Series Llc physically located at 1100 Spur Dr, Marshfield MO, 65706-2261. NPI Number 1033115704 has the healthcare provider type.

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1386036721 NPI number is provided on an as is basis without warranty of any kind. 1386036721 is maintained by the National Plan & Provider Enumeration System. The contents of 417 Eyes A Series Llc are for informational purposes only.