Provider Demographics
NPI:1225255532
Name:BROST & STROHMEYER FAMILY EYE CARE PC
Entity Type:Organization
Organization Name:BROST & STROHMEYER FAMILY EYE CARE PC
Other - Org Name:BROST & ASSOCIATES FAMILY EYE CARE PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROST
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:573-783-2251
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:
Mailing Address - City:FREDERICKTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:63645-0308
Mailing Address - Country:US
Mailing Address - Phone:573-783-2251
Mailing Address - Fax:573-783-5379
Practice Address - Street 1:6 COURT SQ
Practice Address - Street 2:
Practice Address - City:FREDERICKTOWN
Practice Address - State:MO
Practice Address - Zip Code:63645-1109
Practice Address - Country:US
Practice Address - Phone:573-783-2251
Practice Address - Fax:573-783-5379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOT02741152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty