The Spec Shoppe of St. Joseph, Inc.
NPI #1164470910 in Saint Joseph, Missouri
Provider Information
- NPI Number
- 1164470910
- Entity Type
- Organization
- Organization Name
- The Spec Shoppe of St. Joseph, Inc.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- May 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2925 N BELT HWY
- City
- Saint Joseph
- State
- Missouri
- ZIP Code
- 64506-2006
- Phone
- (816) 364-0450
Authorized Official
- Name
- JAYLENE A HANSEN
- Title
- BILLING
- Phone
- (816) 364-0450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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