Dr. Kamrian Sue Wilson Od

LBN: Eyeglass Center Llc
Dr. Kamrian Sue Wilson Od is an health care organization with primary practice located at 690 Missouri Ave Ste 22 , Saint Robert MO 65584-4680. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Eyeglass Center Llc can be contacted via phone (573) 336-4670, or through Sutton, Nancy Eileen via phone (573) 336-4670.

Contact Information

Primary practice address
690 Missouri Ave Ste 22 Saint Robert MO 65584-4680
Phone: (573) 336-4670
Fax: (573) 336-5968
Website:
Map and Directions
Authorized official contact:
Name: Sutton, Nancy Eileen ABOC
Phone: (573) 336-4670

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X TO3060 Missouri

Profile Details

NPI number 1992944979
LBN Legal business name Eyeglass Center Llc
DBA Doing business as Dr. Kamrian Sue Wilson Od
Authorized official Sutton, Nancy Eileen ABOC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2009
Last updated Feb 13th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992944979 NPPES
Missouri MEDICAID 313540411

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