Tri Lakes Medical and Surgical Eye Clinic, Inc.

NPI #1497760854 in Branson, Missouri

Provider Information

NPI Number: 1497760854
Entity Type: Organization
Organization Name: Tri Lakes Medical and Surgical Eye Clinic, Inc.
Primary Specialty: Ophthalmology
Enumeration Date: Jul 31, 2006
Last Updated: Dec 3, 2013

Practice Location

Address: 915 STATE HIGHWAY 248
Address 2: SUITE A
City: Branson
State: Missouri
ZIP Code: 65616-8003
Phone: (417) 334-0044

Authorized Official

Name: TRACY R FORD
Title: INSURANCE/BILLING COORDINATOR
Phone: (417) 334-0044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Ophthalmology	207W00000X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Larry Wayne Meyer, M.D.	Ophthalmology	Branson	AI Deep Dive
Kimberly Rene Martinez, MD	Ophthalmology	Branson	AI Deep Dive
DR. James B Mattax JR., M.D.	Ophthalmology	Springfield	AI Deep Dive
DR. Loren Clayton Schrenk, M.D.	Ophthalmology	Saint Louis	AI Deep Dive

Organizations

Provider Name	Specialty	City
Missouri Eye Institute of Branson LLC Part of Missouri Eye Institute LLC	Ophthalmology	Branson	AI Deep Dive

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