Provider Demographics
NPI:1609073006
Name:PROFESSIONAL ACCOUNTING SERVICES FOR OPTOMETRY
Entity Type:Organization
Organization Name:PROFESSIONAL ACCOUNTING SERVICES FOR OPTOMETRY
Other - Org Name:P.A.S.O.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STACI
Authorized Official - Middle Name:JO
Authorized Official - Last Name:SNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-474-3335
Mailing Address - Street 1:PO BOX 21
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MO
Mailing Address - Zip Code:65010-0021
Mailing Address - Country:US
Mailing Address - Phone:573-474-3335
Mailing Address - Fax:
Practice Address - Street 1:2207 CLARK LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-2437
Practice Address - Country:US
Practice Address - Phone:573-474-3335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty