1811189525 NPI number — MRS. BARBARA ANN CASHION OPTICIAN

Table of content: JOHN MURAT ATC (NPI 1265559173)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811189525 NPI number — MRS. BARBARA ANN CASHION OPTICIAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CASHION
Provider First Name:
BARBARA
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
OPTICIAN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MC GUIRE
Provider Other First Name:
DOUGLAS
Provider Other Middle Name:
J
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
JR.
Provider Other Credential Text:
O.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1811189525
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/16/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19 ELLIS AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TROY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63379-1151
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
636-528-4444
Provider Business Mailing Address Fax Number:
636-528-4454

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19 ELLIS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TROY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63379-1151
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-528-4444
Provider Business Practice Location Address Fax Number:
636-528-4454
Provider Enumeration Date:
08/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 156FX1800X , with the licence number:  19856113 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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