Organization Name: | EYEGLASS CENTER LLC |
NPI Number: | 1992944979 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY EILEEN SUTTON (FRONT OFFICE MANAGER) |
Mailing Address: | 690 Missouri Ave Ste 22 Saint Robert |
State: | MO US |
Postal Code: | 655844680 |
Phone Number: | 5733364670 |
Fax Number: | 5733365968 |
NPI Enumeration Date: | 02/13/2009 |
NPI Last Update Date: | 02/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | TO3060 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |