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EYECARE PROFESSIONALS INC NPI 1891820122


NPI Information

NPI: 1891820122
Provider Name: EYECARE PROFESSIONALS, INC
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 26D2051630

Address:
111 N MAIN ST
NEVADA, MO
ZIP 64772
Phone: (417) 667-3076
Get Directions

EYECARE PROFESSIONALS, INC is an optometrist in Nevada, MO. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. EYECARE PROFESSIONALS, INC NPI is 1891820122. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 N MAIN ST
NEVADA, MO
ZIP 64772-330
Phone: (417) 667-3076
Fax: (417) 667-8690

The provider's authorized official is Delton L Fast .
The authorized official title is Pres Of Corp and has the following contact phone number (417) 667-3076.

The CLIA number assigned to this NPI record is 26D2051630 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 12/11/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R370000MEDICARE ID-TYPE UNSPECIFIEDMISSOURICORP MEDICARE #
25302330001MEDICARE NSCMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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