Provider Demographics
NPI:1730355934
Name:JOPLIN ASSOCIATION FOR THE BLIND
Entity type:Organization
Organization Name:JOPLIN ASSOCIATION FOR THE BLIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-623-5721
Mailing Address - Street 1:311 S SCHIFFERDECKER AVE
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64801-3317
Mailing Address - Country:US
Mailing Address - Phone:417-623-5721
Mailing Address - Fax:417-623-1968
Practice Address - Street 1:311 S SCHIFFERDECKER AVE
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64801-3317
Practice Address - Country:US
Practice Address - Phone:417-623-5721
Practice Address - Fax:417-623-1968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251V00000XAgenciesVoluntary or Charitable
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Multi-Specialty