Masek, Eliot G
Masek, Eliot G is an individual health care provider with primary practice located at 537 W Karsch Blvd , Farmington MO 63640-3312. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Masek, Eliot G can be contacted via phone (573) 747-4133.Contact Information
Primary practice address
537 W Karsch Blvd
Farmington MO 63640-3312
Phone: (573) 747-4133
Fax: (573) 747-4533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046010396 | Illinois |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 046010396 | Illinois |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 2011037694 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2011037694 | Missouri |
Profile Details
| NPI number | 1134432149 |
|---|---|
| LBN Legal business name | Masek, Eliot G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2010 |
| Last updated | Oct 2nd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134432149 | NPPES |
| Illinois | MEDICAID | 046010396 |
Popular Providers
-
Street, Jason Travers
102 Westmount Drive , Farmington MO 63640-0829 -
Akel, Abraham
105 Sawgrass Pt , Harrison AR 72601-3072 -
Roth, Reed T
28370 Kensington Ln Suite A, Perrysburg OH 43551-4163 -
Sago, Shelton K
102 Westmount Dr , Farmington MO 63640-0829 -
Cannaday, Brittany Nicole
140 Westmount Dr , Farmington MO 63640-2970 -
Cloyd, Frances G
709 S Riverside Ave , Medford OR 97501-7837 -
Smith, Megan Lynn
537 W Karsch Blvd , Farmington MO 63640-3312 -
Smothers-Champley, Debra
900 W Springfield Rd , Taylorville IL 62568-1213