Windsor Lake

NPI 1770984163 · on the registry since 2014

Practice

Address: 1229 E Seminole St
Suite 220
Springfield, MO 65804
Phone: (417) 820-5150
Fax: (417) 820-5155
Organisation at this address: Ch Eyes Llc
Mercy Clinic-Springfield Communities
Mercy Clinic Springfield Communities
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 112

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-09-04

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