Provider Demographics
NPI:1013243666
Name:FAMILY EYE CARE OF BELLEVILLE INC
Entity Type:Organization
Organization Name:FAMILY EYE CARE OF BELLEVILLE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:785-527-5700
Mailing Address - Street 1:P.O. BOX 38
Mailing Address - Street 2:1704 M ST
Mailing Address - City:BELLEVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66935
Mailing Address - Country:US
Mailing Address - Phone:785-527-5700
Mailing Address - Fax:785-527-5700
Practice Address - Street 1:1704 M ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:KS
Practice Address - Zip Code:66935
Practice Address - Country:US
Practice Address - Phone:785-527-5700
Practice Address - Fax:785-527-5700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty