NPI 1083657050

Spec Shoppe

Organisation Optician Maryville, MO

Practice location

Address: 1713 S Main St, Maryville, MO 64468
Phone: (660) 582-8911
Fax: (660) 582-2545
Mailing address: 1713 S Main St, Maryville, MO 64468-2613

Authorised official

Name: Jeff Farnan
Title: Owner
Phone: (660) 582-8911

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Missouri →

Registry record

NPI: 1083657050
Entity type: Organization
NPI issued: 14 Jun 2006
Record last updated: 12 Feb 2010

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.