| |
119 Oak St., Mountain View, MO 65548-0640 | |
(417) 934-2424 | |
(417) 934-6414 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 119 Oak St., Mountain View, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356561542 | NPI | - | NPPES |
313562522 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TO2589 (Missouri) | Primary |
Mailing Address | Practice Location Address |
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Po Box 640, Mountain View, MO 65548-0640 Ph: (417) 934-2424 | 119 Oak St., Mountain View, MO 65548-0640 Ph: (417) 934-2424 |