Eye Clinic LLC

NPI #1548591837 in Versailles, Missouri

Provider Information

NPI Number: 1548591837
Entity Type: Organization
Organization Name: Eye Clinic LLC
Subpart: Yes (part of a larger organization)
Parent Organization: EYE CLINIC LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 26, 2010
Last Updated: Jun 8, 2010

Practice Location

Address: 506 W NEWTON ST
City: Versailles
State: Missouri
ZIP Code: 65084-1068
Phone: (573) 378-6646

Authorized Official

Name: DR. KEVIN K CARL, O.D.
Title: OWNER
Phone: (573) 378-6646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
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