NPI 1326283862

Erin E. Genua, LLC

Organisation Optometrist Springfield, MO

Practice location

Address: 2825 S Glenstone Ave Suite 200, Springfield, MO 65804-3732
Phone: (417) 886-1677
Mailing address: 4760 S Mary Ann Ave, Springfield, MO 65810-1088

Authorised official

Name: Erin E. Genua
Title: Optometrist
Phone: (417) 576-8522

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2008017923 (MO)

Other Optometrist providers in Missouri →

Registry record

NPI: 1326283862
Entity type: Organization
NPI issued: 12 Dec 2008
Record last updated: 12 Dec 2008

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.