MEDICARE: MRS. BARBARA ANN CASHION OPTICIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician	19856113	MO

General Provider Information

NPI Number	:	1811189525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA ANN CASHION OPTICIAN

Provider Business Mailing Address
First Line	:	19 ELLIS AVE
Second Line	:
City	:	TROY
State	:	MO
Zip	:	63379-1151
Country	:	US
Telephone Number	:	636-528-4444
Fax Number	:	636-528-4454

Provider Business Practice Location Address
First Line	:	19 ELLIS AVE
Second Line	:
City	:	TROY
State	:	MO
Zip	:	63379-1151
Country	:	US
Telephone Number	:	636-528-4444
Fax Number	:	636-528-4454

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2007
Last Update Date	:	08/16/2007

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