NPI | 1497760854 |
---|---|
Doing Business As | TRI LAKES EYE CENTER |
Entity Type | Organization |
Authorized Contact | TRACY R FORD Insurance/Billing COO Rdinator 417-334-0044 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO R6C05) |
Additional Taxonomies | 152W00000X Optometrist |
152WC0802X Optometrist, Corneal and Contact Management | |
152WP0200X Optometrist, Pediatrics | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2013-12-03 |