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Spec Shoppe
Optician in Maryville, Missouri
NPI 1083657050

Spec Shoppe is a Optician based in Maryville, MO and is specialized in Optician. Spec Shoppe practices in Maryville, MO. The NPI Number for Spec Shoppe is 1083657050 and holds a License No. (Missouri).

The current practice location address for Spec Shoppe is 1713 S Main St, Maryville, MO and can be reached out via phone at 660-582-8911 and via fax at 660-582-2545.

Location: 1713 S Main St, Maryville, MO, 64468-2613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083657050
Provider Name
Spec Shoppe
Credential
Provider Entity Type
Organization
Address
1713 S Main St, Maryville, MO, 64468-2613
Phone Number
660-582-8911
Fax Number
660-582-2545
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
322223405 05 MO
institution
Provider Business Practice Location Address Details
Address
1713 S Main St
City
Maryville
State
Missouri
Zip
64468
Phone Number
660-582-8911
Fax Number
660-582-2545
person
Provider Business Mailing Address Details
Address
1713 S Main St
City
Maryville
State
Missouri
Zip
64468
Phone Number
660-582-8911
Fax Number
660-582-2545
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
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