MEDICARE: ARNOLD FAMILY EYECARE, P.C.

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	T03357	MO

General Provider Information

NPI Number	:	1558749036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARNOLD FAMILY EYECARE, P.C.

Provider Business Mailing Address
First Line	:	1781 JEFFCO BLVD
Second Line	:
City	:	ARNOLD
State	:	MO
Zip	:	63010-2713
Country	:	US
Telephone Number	:	314-432-6137
Fax Number	:	314-432-1237

Provider Business Practice Location Address
First Line	:	1781 JEFFCO BLVD
Second Line	:
City	:	ARNOLD
State	:	MO
Zip	:	63010-2713
Country	:	US
Telephone Number	:	314-432-6137
Fax Number	:	314-432-1237

Authorized Official
Title or Position	:	PARTNER
Name	:	JERRI L BIRSINGER
Credential	:	O.D.
Telephone Number	:	314-432-6137

Provider Enumeration Date	:	05/15/2015
Last Update Date	:	06/08/2015

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