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Contact Information

VISION CLINIC PC
6005 N 21ST ST
OZARK, MO65721-7634
 Phone: 417-582-2020
 Fax: 417-582-2027
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for VISION CLINIC PC · (Female)

NPI Number 1699020834
Status Active
Credentials
Entity Individual
Enumeration date 07/13/2012
Last updated 05/03/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO Medicaid 1740206911
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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