NPI | 1316078868 |
---|---|
Other Name | FAMILY EYECARE ASSOCIATES 43-1628740 |
Entity Type | Organization |
Authorized Contact | MICHAEL R MONTGOMERY Doctor Of Optometry 417-532-2562 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO TO2552) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2552) |
332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MO 2552) | |
Enumeration Date | 2007-03-08 |
Last Update Date | 2011-03-14 |