Access Eye Care LLC
Organization Active NPI Optometrist · Ozark, MO
NPI 1487825535 · NPPES record last updated Sep 18, 2013
Key facts
- NPI
- 1487825535
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 2003028770 (MO)
- Legal business name
- ACCESS EYE CARE LLC
- Practice address
- 2004 W Marler LN
Ozark, MO 65721-7661 - Phone
- (417) 581-3927
- Fax
- (417) 581-3953
- NPI assigned
- Mar 17, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Oral Edward Bass III, O.D.
- Title
- Member
- Phone
- (417) 894-4759
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 2003028770 | MO | Yes |
Addresses
Primary practice location
2004 W Marler LN
Ozark, MO 65721-7661
Mailing address
PO Box 858
Ozark, MO 65721-0858
Phone (417) 581-3927
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013037365 | Other | MO | INDIVIDUAL NPI |
| 1487825535 | Medicaid | MO | |
| 000015702 | Other | MO | PTAN |
Other providers in Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2013. 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.