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Sudarsan Chavala
Eyewear Supplier in Maryville, Missouri
NPI 1639292527

Sudarsan Chavala is a Eyewear Supplier based in Maryville, MO. Sudarsan Chavala practices in Maryville, MO. The NPI Number for Sudarsan Chavala is 1639292527 and holds a License No. R8855 (Missouri).

The current practice location address for Sudarsan Chavala is 2024 S Main St, Maryville, MO and can be reached out via phone at 660-562-2566 and via fax at 660-562-2432.

Location: 2024 S Main St, Maryville, MO, 64468-2655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639292527
Provider Name
Sudarsan Chavala
Credential
Provider Entity Type
Organization
Address
2024 S Main St, Maryville, MO, 64468-2655
Phone Number
660-562-2566
Fax Number
660-562-2432
Provider Enumeration Date
04/07/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180023483 01 MO MEDICARE RAILROAD
321965204 05 MO
201965209 05 MO
22841019 01 MO BCBS OF KC
institution
Provider Business Practice Location Address Details
Address
2024 S Main St
City
Maryville
State
Missouri
Zip
64468-2655
Phone Number
660-562-2566
Fax Number
660-562-2432
person
Provider Business Mailing Address Details
Address
2024 S Main St
City
Maryville
State
Missouri
Zip
64468-2655
Phone Number
660-562-2566
Fax Number
660-562-2432
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
R8855 (Missouri)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
R8855 (Missouri)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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