Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LISA DURHAM, O.D.

Active

DR. LISA DURHAM, O.D. is a Optometrist healthcare provider located in EUREKA, Missouri. NPI 1629074620 is currently active in the NPPES registry. Verify at CMS.

Optometrist · EUREKA, MO

Registration Details

NPI Number: 1629074620
Provider Type: Individual
Gender: Female
NPI Issued: Jun 23, 2005 (21.122098818051 yrs)
Last Updated: Nov 18, 2014
License: 2004017331 (MO)

Practice Information

Address: 54 THE LEGENDS PKWY STE 151

EUREKA, MO, 630253803
Browse MO providers · Browse ZIP 63025
Phone: 6369387010
Fax: 6369387141
Primary Specialty: Optometrist
152W00000X

Other Optometrist Providers in EUREKA, MO

Name	Credential	NPI
DR. LAWRENCE JEHLING	O.D.	1588660484
DR. GREGORY RANDOLPH BOSCHERT	OD	1558344937
DR. KEVIN W. HICKS	OD	1821060419
CODY G TUBBS	O.D.	1831353861
DR. CORTNEY MARIE FOGARTY	O.D.	1629451935
LIZABETH MARQUART	—	1356910913

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.