Osage Eye Clinic PC

NPI #1104157825 in Osage Beach, Missouri

Provider Information

NPI Number: 1104157825
Entity Type: Organization
Organization Name: Osage Eye Clinic PC
Primary Specialty: Ophthalmology
Enumeration Date: Jan 20, 2010
Last Updated: Jan 20, 2010

Practice Location

Address: 54 HOSPITAL DR
City: Osage Beach
State: Missouri
ZIP Code: 65065-3050
Phone: (573) 348-8002

Authorized Official

Name: TIMOTHY D LISCHWE, M.D.
Title: OWNER
Phone: (573) 348-8002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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