B &B Eyecare, LLC
Organization Active NPI Optometrist · Lake Ozark, MO
NPI 1255414918 · NPPES record last updated Jan 28, 2008
Key facts
- NPI
- 1255414918
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- T03452 (MO)
- Legal business name
- B &B EYECARE, LLC
- Practice address
- 3251 Bagnell Dam Blvd
Lake Ozark, MO 65049-9745 - Phone
- (573) 365-3717
- Fax
- (573) 365-4485
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Brian Ross Eveland, OD
- Title
- Co-Owner
- Phone
- (573) 365-3717
Practitioners 8
-
Thomas A Dettmer, O.D.
-
Brian Eveland, OD
-
Kelly K Frisella, O.D.
-
John A Gazaway, OD
-
Lisa K. Groves, OD
-
Brad Engelbarts, OD
-
Rachel E Engelbarts, O.D.
National Provider Directory
Locations
3251 Bagnell Dam Blvd
Lake Ozark, MO 65049
Phone (573) 365-3717
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | T03452 | MO | Yes |
Addresses
Primary practice location
3251 Bagnell Dam Blvd
Lake Ozark, MO 65049-9745
Mailing address
PO Box 2347
Lake Ozark, MO 65049-2347
Phone (573) 365-3717
Other names
- Family Eyecare Associates
Other providers in Lake Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.