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Primary Eye Care Associates
Preferred Provider Organization in Kennett, Missouri
NPI 1053458380

Primary Eye Care Associates is a Preferred Provider Organization based in Kennett, MO. Primary Eye Care Associates practices in Kennett, MO. The NPI Number for Primary Eye Care Associates is 1053458380 and holds a License No. T02701 (Missouri).

The current practice location address for Primary Eye Care Associates is 303 Teaco Rd, Kennett, MO and can be reached out via phone at 573-888-5896 and via fax at 573-888-1501.

Location: 303 Teaco Rd, Kennett, MO, 63857-3237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053458380
Provider Name
Primary Eye Care Associates
Credential
Provider Entity Type
Organization
Address
303 Teaco Rd, Kennett, MO, 63857-3237
Phone Number
573-888-5896
Fax Number
573-888-1501
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
191843 01 MO BLUE CROSS BLUE SHIELD
5514370001 01 MO CIGNA GOVERNMENT
institution
Provider Business Practice Location Address Details
Address
303 Teaco Rd
City
Kennett
State
Missouri
Zip
63857-3237
Phone Number
573-888-5896
Fax Number
573-888-1501
person
Provider Business Mailing Address Details
Address
303 Teaco Rd
City
Kennett
State
Missouri
Zip
63857-3237
Phone Number
573-888-5896
Fax Number
573-888-1501
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
T02701 (Missouri)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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