SPEC SHOPPE II


Address: 301 N Park St, Stanberry, MO 64489-1245
Phone: 6607832870

SPEC SHOPPE II (NPI# 1265820815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265820815
Entity Type Organization
Organization Name SPEC SHOPPE II
Practice Address 301 N Park St
Stanberry
MO 64489-1245
Practice Telephone 6607832870
Enumeration Date 2015-01-06
Last Update Date 2015-01-06
Authorized Official Name JEFFREY MARK FARNAN (CO-OWNER)
Authorized Official Telephone 6607832870
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
22104119 MO Eye and Vision Services Providers

Office Location

Street Address 301 N PARK ST
City STANBERRY
State MO
Zip Code 64489-1245

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NPI Name Taxonomy Address Enumeration
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1417117672 New Beginnings Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 720 N Willow St, Stanberry, MO 64489-1057 2008-06-11
1699215921 Tammy Sparks Nurse Practitioner 126 W 3rd St, Stanberry, MO 64489-1112 2017-03-06
1659358356 Family Health Pharmacy Pharmacy 102 W 1st St, Stanberry, MO 64489-1161 2005-12-23
1659376176 Grand River Regional Ambulance District Ambulance 130 W 1st St, Stanberry, MO 64489-1161 2005-06-21
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1558781443 Athena Marie Duncan Technician/Technologist 450 N Johnson, Kahoka, MO 63445 2014-04-18
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Competitor

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City STANBERRY
Zip Code 64489

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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