Search › Missouri › 152W00000X
Jeremy Fast, O.D
NPI 1730217795 · on the registry since 2007 · sole proprietor
Practice
- Address
- 111 N Main St
Nevada, MO 64772 - Phone
- (417) 667-3076
- Organisation at this address
- Eyecare Professionals, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri