Burd's Eye View, Pc

NPI 1083970800 - Optometrist - 152W00000X

NPI Details
NPI 1083970800
Enumeration Date 04/05/2012
Last Updated 07/06/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ALISON MARY ALISON
Position OPTOMETRIST/OWNER
Phone (573) 431-2974
Fax
Practice Location
407 N STATE ST
DESLOGE MO, 63601-3053, US
Phone (573) 431-2974
Fax
Business Location
618 SAINT FRANCOIS RD
BONNE TERRE MO, 63628-9201, US
Phone (573) 562-8096
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Missouri
License Number 2009016902
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According to our database, Burd's Eye View, Pc NPI is 1083970800, taxonomy code is 152W00000X and license number is 2009016902, license state is located at Missouri. Burd's Eye View, Pc physically located at 407 N State St, Desloge MO, 63601-3053. NPI Number 1033115704 has the healthcare provider type.

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1083970800 NPI number is provided on an as is basis without warranty of any kind. 1083970800 is maintained by the National Plan & Provider Enumeration System. The contents of Burd's Eye View, Pc are for informational purposes only.