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NPI Code Detail

MEDICARE: SLOAN EYECARE CENTER L.L.C

MEDICARE: SLOAN EYECARE CENTER L.L.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
1152W00000XOptometrist

General Provider Information

NPI Number : 1740757186
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLOAN EYECARE CENTER L.L.C
Provider Business Mailing Address
First Line : 1115 WASHINGTON ST
Second Line :
City : CHILLICOTHEE
State : MO
Zip : 64601-1306
Country : US
Telephone Number : 660-646-3937
Fax Number :
Provider Business Practice Location Address
First Line : 1904 N BALTIMORE ST
Second Line :
City : KIRKSVILLE
State : MO
Zip : 63501-1902
Country : US
Telephone Number : 660-665-3564
Fax Number :
Authorized Official
Title or Position : OWNER/MANAGING MEMBER
Name : DUANE A THOMPSON
Credential : OD
Telephone Number : 660-646-3937
Provider Enumeration Date : 10/24/2018
Last Update Date : 01/20/2022

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Directions to “SLOAN EYECARE CENTER L.L.C ” Practice Location

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