Provider Demographics
NPI:1699832139
Name:MURPHY OPTOMETRY INC.
Entity Type:Organization
Organization Name:MURPHY OPTOMETRY INC.
Other - Org Name:PRIMARY EYECARE & EYEWARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-962-1700
Mailing Address - Street 1:9051 WATSON RD STE D
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63126-2240
Mailing Address - Country:US
Mailing Address - Phone:314-962-1700
Mailing Address - Fax:314-962-3297
Practice Address - Street 1:9051 WATSON RD STE D
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-2240
Practice Address - Country:US
Practice Address - Phone:314-962-1700
Practice Address - Fax:314-962-3297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOTO2797152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty