| |
330 W Osage St, Pacific, MO 63069-1331 | |
(636) 200-4393 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 330 W Osage St, Pacific, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215980875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 207158, Dallas, TX 75320-7158 Ph: (636) 200-4393 | 330 W Osage St, Pacific, MO 63069-1331 Ph: (636) 200-4393 |
Cathy L Phillips, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 330 W Osage St, Pacific, MO 63069 Phone: 636-271-4500 Fax: 636-271-6940 |