Maryville Family Eye Clinic,LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MARYVILLE FAMILY EYE CLINIC,LLC

Practice address

503 S Main St
Maryville, MO 64468-2444

Phone

(913) 953-6049

NPI assigned

Jul 7, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Korrie S Sowards

Title

Operating Manager/ Owner

Phone

(913) 953-6049

Specialties & licenses 1

Addresses

Other names 1

• Family Eye Clinic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1124434592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682444",
            "telephone_number": "913-953-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682444",
            "telephone_number": "913-953-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVILLE FAMILY EYE CLINIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "SOWARDS",
        "authorized_official_first_name": "KORRIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPERATING MANAGER/ OWNER",
        "authorized_official_telephone_number": "913-953-6049",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Maryville, MO
• Providers in Maryville, MO by specialty
• Eyewear Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.