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NPI Code Detail

MEDICARE: ANDREW STONE OPTOMETRY INC.

MEDICARE: ANDREW STONE OPTOMETRY INC.
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
1261Q00000XClinic/Center2002022349MO

General Provider Information

NPI Number : 1295874832
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDREW STONE OPTOMETRY INC.
Provider Business Mailing Address
First Line : 2012 CHERRY HILL DRIVE
Second Line : SUITE 201
City : COLUMBIA
State : MO
Zip : 65203-5376
Country : US
Telephone Number : 573-445-7750
Fax Number :
Provider Business Practice Location Address
First Line : 2012 CHERRY HILL DR
Second Line : SUITE 201
City : COLUMBIA
State : MO
Zip : 65203-5882
Country : US
Telephone Number : 573-445-7750
Fax Number : 573-445-7752
Authorized Official
Title or Position : OPTOMETRIST
Name : ANDREW STONE
Credential : OD
Telephone Number : 573-445-7750
Provider Enumeration Date : 02/06/2007
Last Update Date : 07/31/2008

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Directions to “ANDREW STONE OPTOMETRY INC. ” Practice Location

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