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222 E Commercial St, Charleston, MO 63834-1749 | |
(573) 233-8168 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 222 E Commercial St, Charleston, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447033634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Heath Patrick Rolwing |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851070122 PECOS PAC ID: 1254786221 Enrollment ID: I20231011001068 |
Mailing Address | Practice Location Address |
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222 E Commercial St, Charleston, MO 63834-1749 Ph: () - | 222 E Commercial St, Charleston, MO 63834-1749 Ph: (573) 233-8168 |
Heath Patrick Rolwing, OD Optometrist Medicare: Medicare Enrolled Practice Location: 222 E Commercial St, Charleston, MO 63834 Phone: 573-233-8168 |