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General NPI Number Information
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NPI Number | 1508259987
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Entity Type | Organization
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Legal Business Name | COLUMBIA FAMILY FOCUS EYECARE, LLC
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Dates
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Enumeration Date | 03/10/2015
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 725 S SCOTT BLVD STE 101
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City | COLUMBIA
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State | MO
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Zip | 65203-0432
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Country | US
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Telephone | 573-444-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 725 S SCOTT BLVD STE 101
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City | COLUMBIA
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State | MO
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Zip | 65203-0432
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. LEE ANN BARRETT
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Credential | O.D.
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Telephone | 573-864-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2012017941
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | T02640
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License Number State | MO
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