McCullough Eyecare, PC

Optometrist · Festus, MO

Organization Active NPI

NPI number 1285804286

Practice location

202 Walnut St
Festus, MO 63028-1850
Phone
(636) 937-3130
Fax
(636) 937-7202

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NPI record

NPI
1285804286
Entity type
Organization (Type 2)
Enumeration date
March 5, 2008
Last updated
July 5, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 2002014341 MO
Durable Medical Equipment & Medical Supplies 332B00000X — —

Authorized official

Name
Dr. Jarod Lance McCullough, O.D.
Title
Owner/Optometrist
Phone
(636) 937-3130

About McCullough Eyecare, PC

McCullough Eyecare, PC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 202 Walnut St, Festus, MO 63028-1850. The NPI number 1285804286 was assigned on March 5, 2008 and the record was last updated on July 5, 2012.

McCullough Eyecare, PC lists a license in the registry: #2002014341 (MO) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Jarod Lance McCullough, O.D., Owner/Optometrist.

Frequently asked questions

What is the NPI number of McCullough Eyecare, PC?

The NPI number is 1285804286.

What is the phone number of McCullough Eyecare, PC?

The phone number listed for the practice location is (636) 937-3130.

Where is McCullough Eyecare, PC located?

202 Walnut St, Festus, MO 63028-1850.

What is the taxonomy code for McCullough Eyecare, PC?

The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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