| Norman Professional Eyecare And Contact Lens Clinic Llc | |
|
21 Doctors Park, Suite B, Cape Girardeau, MO 63703-4927 | |
| (573) 803-2211 | |
| Not Available |
| Full Name | Norman Professional Eyecare And Contact Lens Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 21 Doctors Park, Cape Girardeau, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235493164 | NPI | - | NPPES |
| 1235493164 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T03491 (Missouri) | Primary |
| Provider Name | Brian K Norman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558425389 PECOS PAC ID: 2365589934 Enrollment ID: I20091030000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Norman Professional Eyecare And Contact Lens Clinic Llc 21 Doctors Park, Suite B, Cape Girardeau, MO 63703-4927 Ph: (573) 803-2211 | Norman Professional Eyecare And Contact Lens Clinic Llc 21 Doctors Park, Suite B, Cape Girardeau, MO 63703-4927 Ph: (573) 803-2211 |
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