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Columbia Eyewear
Optician in Columbia, Missouri
NPI 1720134513

Columbia Eyewear is a Optician based in Columbia, MO and is specialized in Optician. Columbia Eyewear practices in Columbia, MO. The NPI Number for Columbia Eyewear is 1720134513 and holds a License No. (Missouri).

The current practice location address for Columbia Eyewear is 500 Keene Street, Suite 103, Columbia, MO and can be reached out via phone at 573-874-2030.

Location: 500 Keene Street, Suite 103, Columbia, MO, 65201-8104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720134513
Provider Name
Columbia Eyewear
Credential
Provider Entity Type
Organization
Address
500 Keene Street, Suite 103, Columbia, MO, 65201-8104
Phone Number
573-874-2030
Fax Number
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107546 01 MO BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
500 Keene Street, Suite 103
City
Columbia
State
Missouri
Zip
65201
Phone Number
573-874-2030
Fax Number
person
Provider Business Mailing Address Details
Address
500 Keene Street, Suite 103
City
Columbia
State
Missouri
Zip
65201
Phone Number
573-874-2030
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
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Definition
Definition to come...
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