NPI 1265820815

Spec Shoppe II

Organisation Optician Stanberry, MO

Practice location

Address: 301 N Park St, Stanberry, MO 64489-1245
Phone: (660) 783-2870

Authorised official

Name: Jeffrey Mark Farnan
Title: Co-Owner
Phone: (660) 783-2870

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 22104119 (MO)

Other Technician/Technologist providers in Missouri →

Registry record

NPI: 1265820815
Entity type: Organization
NPI issued: 6 Jan 2015
Record last updated: 6 Jan 2015

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.