| |
14974 Us Highway 160, Unit 6, Forsyth, MO 65653-5365 | |
(417) 546-4464 | |
(417) 546-4559 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 14974 Us Highway 160, Forsyth, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295838381 | NPI | - | NPPES |
328163001 | Medicaid | MO | |
507305605 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1000 James Epps Road, Suite 1, Branson, MO 65616-7203 Ph: (417) 334-7291 | 14974 Us Highway 160, Unit 6, Forsyth, MO 65653-5365 Ph: (417) 546-4464 |