Provider Demographics
NPI:1740201482
Name:PREMIERE EYE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:PREMIERE EYE ASSOCIATES, P.C.
Other - Org Name:INSIGHT OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:H
Authorized Official - Last Name:SPURRIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-937-8855
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63019-0013
Mailing Address - Country:US
Mailing Address - Phone:636-937-8855
Mailing Address - Fax:636-931-6561
Practice Address - Street 1:1400 HWY 61 SOUTH
Practice Address - Street 2:SUITE 130
Practice Address - City:CRYSTAL CITY
Practice Address - State:MO
Practice Address - Zip Code:63019
Practice Address - Country:US
Practice Address - Phone:636-937-8855
Practice Address - Fax:636-931-6561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0695040001OtherNORIDIAN DME MAC
MOCN1852OtherMEDICARE RAILROAD