Provider Demographics
NPI:1992979496
Name:MURRELL OPTICAL, INC.
Entity type:Organization
Organization Name:MURRELL OPTICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CLINT
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROLF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-649-1333
Mailing Address - Street 1:8961 W 75TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2208
Mailing Address - Country:US
Mailing Address - Phone:913-649-1333
Mailing Address - Fax:913-649-1215
Practice Address - Street 1:8961 W 75TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2208
Practice Address - Country:US
Practice Address - Phone:913-649-1333
Practice Address - Fax:913-649-1215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS5801330001Medicare NSC