Organization Name: | HERMANN/WASHINGTON EYE CENTER, LLC |
NPI Number: | 1386820819 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY J GIESLER (PRESIDENT) |
Mailing Address: | 228 E 1st St Hermann |
State: | MO US |
Postal Code: | 650411114 |
Phone Number: | 6362397722 |
Fax Number: | 6362397622 |
NPI Enumeration Date: | 01/15/2008 |
NPI Last Update Date: | 05/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | TO2265 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |