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Organization
VISION REHABILITATION CENTER OF THE OZARKS
Active
Organization
VISION REHABILITATION CENTER OF THE OZARKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE V. CRAIG (ADMINISTRATIVE ASSISTANT)
(417) 831-0555
Entity
Organization
Contact information
Practice address
1661 WEST ELFINDALE, SPRINGFIELD, MO 65807-1287
(417) 831-0555
(417) 831-0532
Mailing address
1661 WEST ELFINDALE, SPRINGFIELD, MO 65807-1287
(417) 831-0555
(417) 831-0532
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T03116
MO
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
T03116
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317857001
—
MO
05
—
317857019
—
MO
Enumeration date
02/09/2011
Last updated
09/16/2011
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