Doctor Name: | MICHAEL SHURLEY |
NPI Number: | 1366436370 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | TO2772 |
Business Practice Address: | 426 W Coler St Neosho, MO - 648501441 |
Business Phone Number: | 4174512378 |
Business Fax Number: | 4174514484 |
Mailing Address: | 426 W Coler St, NEOSHO |
State: | MO |
Postal Code: | 648501441 |
Phone Number: | 4174512378 |
Fax Number: | 4174514484 |
NPI Enumeration Date: | 09/06/2005 |
NPI Last Update Date: | 11/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | TO2772 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |