| 417 Eyes A Series Llc | |
|
1100 Spur Dr, Suite 220, Marshfield, MO 65706-2261 | |
| (417) 859-2010 | |
| (417) 859-2038 |
| Full Name | 417 Eyes A Series Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1100 Spur Dr, Marshfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386036721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T03007 (Missouri) | Primary |
| Provider Name | Daniel E Boone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679521603 PECOS PAC ID: 7517904006 Enrollment ID: I20050415000530 |
| Provider Name | Daniel A Boone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609434604 PECOS PAC ID: 9032446034 Enrollment ID: I20190814001654 |
| Mailing Address | Practice Location Address |
|---|---|
| 417 Eyes A Series Llc 1100 Spur Dr, Suite 220, Marshfield, MO 65706-2261 Ph: (417) 859-2010 | 417 Eyes A Series Llc 1100 Spur Dr, Suite 220, Marshfield, MO 65706-2261 Ph: (417) 859-2010 |
Yousef Ibrahim, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1350 Spur Dr Ste 150, Marshfield, MO 65706 Phone: 417-468-6682 | |
Currier Family Eyecare Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Spur Dr, Ste 220, Marshfield, MO 65706 Phone: 417-859-2010 Fax: 417-859-2038 | |
Dr. Samuel Swisher, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14740 State Hwy 38, Marshfield, MO 65706 Phone: 417-859-3725 Fax: 417-859-3725 | |
Dr. Donna Lea Currier, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1100 Spur Drive, Ste 220, Marshfield, MO 65706 Phone: 417-859-2010 Fax: 417-859-2038 |