417 Eyes a Series LLC
NPI #1386036721 in Marshfield, Missouri
Provider Information
- NPI Number
- 1386036721
- Entity Type
- Organization
- Organization Name
- 417 Eyes a Series LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Feb 23, 2015
- Last Updated
- Jan 16, 2025
Practice Location
- Address
- 1100 SPUR DR
- Address 2
- SUITE 220
- City
- Marshfield
- State
- Missouri
- ZIP Code
- 65706-2261
- Phone
- (417) 859-2010
Authorized Official
- Name
- DR. DANIEL E. BOONE, O.D.
- Title
- OWNER/ OPTOMETRIST
- Phone
- (417) 859-2010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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