Eyecare Specialties of Missouri LLC

NPI #1053427435 in Clinton, Missouri

Provider Information

NPI Number: 1053427435
Entity Type: Organization
Organization Name: Eyecare Specialties of Missouri LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 21, 2006
Last Updated: Apr 6, 2015

Practice Location

Address: 1104 E OHIO ST
City: Clinton
State: Missouri
ZIP Code: 64735-2458
Phone: (660) 885-7116

Authorized Official

Name: DR. JASON STEVEN LAKE, OD
Title: DR/ OWNER
Phone: (660) 885-7116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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DR. Lisa K Parks, OD	Optometrist	Clinton	AI Deep Dive
Daniel John Weber, O.D.	Optometrist	Clinton	AI Deep Dive
DR. Kyle Dale Johnson, O.D.	Optometrist	Clinton	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Parks Optical INC	Optometrist	Clinton	AI Deep Dive

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