Michael R. Penney, OD

Optometrist · Poplar Bluff, MO

Individual Active NPI

NPI number 1487752044

Practice location

3061 N Westwood Blvd
Poplar Bluff, MO 63901-8658
Phone
(573) 785-1442
Fax
(573) 776-6024

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NPI record

NPI
1487752044
Entity type
Individual (Type 1)
Enumeration date
September 20, 2006
Last updated
March 10, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X T02754 MO

About Dr. Penney

Michael R. Penney, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 3061 N Westwood Blvd, Poplar Bluff, MO 63901-8658. The NPI number 1487752044 was assigned on September 20, 2006 and the record was last updated on March 10, 2014.

Dr. Penney lists a license in the registry: #T02754 (MO) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael R. Penney, OD?

The NPI number is 1487752044.

What is the phone number of Dr. Penney?

The phone number listed for the practice location is (573) 785-1442.

Where is Dr. Penney located?

3061 N Westwood Blvd, Poplar Bluff, MO 63901-8658.

What is the taxonomy code for Dr. Penney?

The primary taxonomy code is 152W00000X – Optometrist.

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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