Whalio Doctors

NPI 1104844414

Stacy Becvar, OD

Practitioner Optometrist Columbia, MO

Practice location

Address
1109 Club Village Dr Suite 106, Columbia, MO 65203-4466
Phone
(573) 441-2020
Mailing address
3405 Kunlun Dr, Columbia, MO 65203-8012

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 2004021756 (MO)

Registry record

NPI
1104844414
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jul 2006
Record last updated
25 Feb 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.