Eyecare Specialties of Missouri LLC

NPI #1053482711 in Sedalia, Missouri

Provider Information

NPI Number: 1053482711
Entity Type: Organization
Organization Name: Eyecare Specialties of Missouri LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 13, 2006
Last Updated: Jul 2, 2015

Practice Location

Address: 3403 W 10TH ST
City: Sedalia
State: Missouri
ZIP Code: 65301-2112
Phone: (660) 826-6161

Authorized Official

Name: BRETT H LIESEMEYER, OD
Title: OWNER
Phone: (660) 826-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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