| Michael Shurley O.d., P.c. | |
|
426 W Coler St Neosho MO 64850-1441 | |
| (417) 451-2378 | |
| (417) 451-4484 |
| Full Name | Michael Shurley O.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 426 W Coler St, Neosho, Missouri |
| Authorized Official Name and Position | Michael Shurley (PRESIDENT) |
| Authorized Official Contact | 4174512378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Shurley O.d., P.c. 426 W Coler St Neosho MO 64850-1441 Ph: (417) 451-2378 | Michael Shurley O.d., P.c. 426 W Coler St Neosho MO 64850-1441 Ph: (417) 451-2378 |
| NPI Number | 1235312943 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 05/21/2009 |
| Medicare PECOS PAC ID | 9234027624 |
|---|---|
| Medicare Enrollment ID | O20040308000812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235312943 | NPI | - | NPPES |
| 312558703 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | T02772 (Missouri) | Primary |
| Provider Name | Michael Shurley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366436370 PECOS PAC ID: 3274421904 Enrollment ID: I20040305000296 |
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