Provider Demographics
NPI:1659509131
Name:CURRIER FAMILY EYECARE OD PC
Entity Type:Organization
Organization Name:CURRIER FAMILY EYECARE OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CURRIER
Authorized Official - Suffix:
Authorized Official - Credentials:OD PC
Authorized Official - Phone:417-859-2010
Mailing Address - Street 1:1100 SPUR DR
Mailing Address - Street 2:STE 220
Mailing Address - City:MARSHFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65706-2348
Mailing Address - Country:US
Mailing Address - Phone:417-859-2010
Mailing Address - Fax:417-859-2038
Practice Address - Street 1:1100 SPUR DR
Practice Address - Street 2:STE 220
Practice Address - City:MARSHFIELD
Practice Address - State:MO
Practice Address - Zip Code:65706-2348
Practice Address - Country:US
Practice Address - Phone:417-859-2010
Practice Address - Fax:417-859-2038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-23
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOT03042152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO313445843Medicaid
MO1982782306OtherSINGLE PRACTICE NPI
MO1982782306OtherSINGLE PRACTICE NPI