Provider Demographics
NPI:1124284112
Name:DALE E ASSING, OD PC
Entity type:Organization
Organization Name:DALE E ASSING, OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ASSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-847-2515
Mailing Address - Street 1:504 WEST ST
Mailing Address - Street 2:
Mailing Address - City:CASSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65625-1462
Mailing Address - Country:US
Mailing Address - Phone:417-847-2515
Mailing Address - Fax:417-847-2020
Practice Address - Street 1:504 WEST ST
Practice Address - Street 2:
Practice Address - City:CASSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65625-1462
Practice Address - Country:US
Practice Address - Phone:417-847-2515
Practice Address - Fax:417-847-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOTO2374152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO310207303Medicaid
MO2280732OtherUNITED HEALTHCARE
MO2280732OtherUNITED HEALTHCARE
MO310207303Medicaid