Healthcare Provider Details

I. General information

NPI: 1124430988
Provider Name (Legal Business Name): HILARY MORROW PRICE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2014
Last Update Date: 09/21/2023
Certification Date: 09/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 W REPUBLIC RD
SPRINGFIELD MO
65807-5730
US

IV. Provider business mailing address

1850 W REPUBLIC RD
SPRINGFIELD MO
65807-5730
US

V. Phone/Fax

Practice location:
  • Phone: 844-501-8387
  • Fax:
Mailing address:
  • Phone: 417-891-4800
  • Fax: 417-891-4922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2818
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2705
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: