Mccullough Eyecare, PC

NPI #1285804286 in Festus, Missouri

Provider Information

NPI Number: 1285804286
Entity Type: Organization
Organization Name: Mccullough Eyecare, PC
Primary Specialty: Optometrist
Enumeration Date: Mar 5, 2008
Last Updated: Jul 5, 2012

Practice Location

Address: 202 WALNUT ST
City: Festus
State: Missouri
ZIP Code: 63028-1850
Phone: (636) 937-3130

Authorized Official

Name: DR. JAROD LANCE MCCULLOUGH, O.D.
Title: OWNER/OPTOMETRIST
Phone: (636) 937-3130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Optometrist	152W00000X	Primary

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