Provider Demographics
NPI:1982782306
Name:CURRIER, DONNA LEA (OD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:LEA
Last Name:CURRIER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 SPUR DRIVE
Mailing Address - Street 2:STE 220
Mailing Address - City:MARSHFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65706
Mailing Address - Country:US
Mailing Address - Phone:417-859-2010
Mailing Address - Fax:417-859-2038
Practice Address - Street 1:1100 SPUR DRIVE
Practice Address - Street 2:STE 220
Practice Address - City:MARSHFIELD
Practice Address - State:MO
Practice Address - Zip Code:65706
Practice Address - Country:US
Practice Address - Phone:417-859-2010
Practice Address - Fax:417-859-2038
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOT03042152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
128103OtherBCBS
213017OtherHEALTHLINK
002258421001OtherUNITED HEALTHCARE
MO313445843Medicaid
6322748OtherCIGNA
MO000091297Medicare PIN
MO313445843Medicaid
6322748OtherCIGNA