International Eyecare Center, INC

NPI #1235455320 in Fulton, Missouri

Provider Information

NPI Number: 1235455320
Entity Type: Organization
Organization Name: International Eyecare Center, INC
Primary Specialty: Optometrist
Enumeration Date: Apr 14, 2010
Last Updated: Jan 22, 2021

Practice Location

Address: 1877A N BLUFF ST
City: Fulton
State: Missouri
ZIP Code: 65251-2465
Phone: (573) 592-7484

Authorized Official

Name: CATHY LEE SHORT
Title: CREDENTIAILING MANAGER
Phone: (618) 462-9818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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