Primary Eye Care Associates

NPI 1053458380 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1053458380
Enumeration Date 01/30/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MERRILL THOMAS MERRILL
Position OWNER
Phone (573) 888-5896
Fax (573) 888-1501
Practice Location
303 TEACO RD
KENNETT MO, 63857-3237, US
Phone (573) 888-5896
Fax (573) 888-1501
Business Location
303 TEACO RD
KENNETT MO, 63857-3237, US
Phone (573) 888-5896
Fax (573) 888-1501
Toxanomy
Taxonomy Code 305R00000X
License State Missouri
License Number T02701
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According to our database, Primary Eye Care Associates NPI is 1053458380, taxonomy code is 305R00000X and license number is T02701, license state is located at Missouri. Primary Eye Care Associates physically located at 303 Teaco Rd, Kennett MO, 63857-3237. NPI Number 1033115704 has the healthcare provider type.

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1053458380 NPI number is provided on an as is basis without warranty of any kind. 1053458380 is maintained by the National Plan & Provider Enumeration System. The contents of Primary Eye Care Associates are for informational purposes only.