MEDICARE: MURRELL OPTICAL, 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
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1992979496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MURRELL OPTICAL, INC.

Provider Business Mailing Address
First Line	:	8961 W 75TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66204-2208
Country	:	US
Telephone Number	:	913-649-1333
Fax Number	:	913-649-1215

Provider Business Practice Location Address
First Line	:	8961 W 75TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66204-2208
Country	:	US
Telephone Number	:	913-649-1333
Fax Number	:	913-649-1215

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CLINT W ROLF
Credential	:
Telephone Number	:	913-649-1333

Provider Enumeration Date	:	04/15/2008
Last Update Date	:	04/15/2008

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Directions to “MURRELL OPTICAL, INC. ” Practice Location

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