Provider Demographics
NPI:1952397556
Name:LARIMORE, BAKER, BROWN, & ASSOCIATES, INC
Entity Type:Organization
Organization Name:LARIMORE, BAKER, BROWN, & ASSOCIATES, INC
Other - Org Name:SUNSHINE EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCMILLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-886-2020
Mailing Address - Street 1:1441 E SUNSHINE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1211
Mailing Address - Country:US
Mailing Address - Phone:417-886-2020
Mailing Address - Fax:417-886-9875
Practice Address - Street 1:1441 E SUNSHINE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1211
Practice Address - Country:US
Practice Address - Phone:417-886-2020
Practice Address - Fax:417-886-9875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOCS4275OtherRAILROAD MEDICARE
MOCS4275OtherRAILROAD MEDICARE