NPI 1053458380

Primary Eye Care Associates

Organisation Preferred Provider Organization Kennett, MO

Practice location

Address: 303 Teaco Rd, Kennett, MO 63857-3237
Phone: (573) 888-5896
Fax: (573) 888-1501

Authorised official

Name: Merrill Thomas Miller
Title: Owner
Phone: (573) 888-5896

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence T02701 (MO)

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Registry record

NPI: 1053458380
Entity type: Organization
NPI issued: 30 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.