MEDICARE: CLAIRE CORTNER

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	152W00000X	Optometrist	OPT.007448	OH
2	152W00000X	Optometrist	2025021866	MO

General Provider Information

NPI Number	:	1255125209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE CORTNER

Provider Business Mailing Address
First Line	:	537 W KARSCH BLVD
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-3312
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	537 W KARSCH BLVD
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-3312
Country	:	US
Telephone Number	:	573-747-4133
Fax Number	:

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

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	03/05/2026

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Directions to “ CLAIRE CORTNER ” Practice Location

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