Eyecare Specialties of Missouri LLC

NPI #1720453251 in Lees Summit, Missouri

Provider Information

NPI Number: 1720453251
Entity Type: Organization
Organization Name: Eyecare Specialties of Missouri LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 9, 2015
Last Updated: Jun 2, 2016

Practice Location

Address: 1652 SE BLUE PARKWAY
City: Lees Summit
State: Missouri
ZIP Code: 64063-3191
Phone: (816) 207-6085

Authorized Official

Name: MRS. DEBBIE REYNOLDS
Title: PRESIDENT
Phone: (660) 747-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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