MEDRO JOSEPH BRODEUR III, O.D., P.C.
NPI 1790978575
Eyewear Supplier in Owensville, MO

Active since August 24, 2007
531 E WASHINGTON AVE, OWENSVILLE, MO 65066(573) 437-8004(573) 437-8004 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medro Joseph Brodeur Iii, O.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDRO JOSEPH BRODEUR III, O.D., P.C. (NPI 1790978575) is a healthcare organization registered as an eyewear supplier in Owensville, Missouri and active in the NPI registry since August 2007. The organization lists Medro Joseph Brodeur, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1790978575
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameMEDRO JOSEPH BRODEUR III, O.D., P.C.
Location Address531 E WASHINGTON AVEOwensville, MO 65066-1410
Mailing Address531 E Washington AveOwensville, MO 65066-1410 · (573) 437-8004 · Fax (573) 437-8004
Fax(573) 437-8004
Organization SubpartNo
Authorized OfficialMedro Joseph BrodeurOptometrist · (573) 437-8004
Enumeration DateAugust 24, 2007
Last NPPES UpdateFebruary 21, 2013
NPI 1790978575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License Licensed in MO · TO2435
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
531 E WASHINGTON AVE, Owensville, MO 65066

Other Identifiers 2

Medicare NSC0325210001MO
Medicare UPINT42705MO

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
531 E WASHINGTON AVE
OWENSVILLE, MO 65066
Optometrist
531 E WASHINGTON AVE
OWENSVILLE, MO 65066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medro Joseph Brodeur III, O.D., P.C.'s NPI number?

The NPI number for Medro Joseph Brodeur III, O.D., P.C. is 1790978575. It was assigned to this organization in the NPPES registry on August 24, 2007.

Where is Medro Joseph Brodeur III, O.D., P.C. located?

Medro Joseph Brodeur III, O.D., P.C. is located at 531 E Washington Ave, Owensville, MO 65066. The listed phone number is (573) 437-8004.

What is Medro Joseph Brodeur III, O.D., P.C.'s specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Medro Joseph Brodeur III, O.D., P.C. was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.