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Organization
MISSOURI VISION CARE
Active
Organization
MISSOURI VISION CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEBE BAGWASI OD (PRESIDENT)
(314) 239-5859
Entity
Organization
Contact information
Practice address
2100 COLLIER CORPORATE PKWY, SAINT CHARLES, MO 63303-6708
(314) 239-5859
Mailing address
2100 COLLIER CORPORATE PKWY, SAINT CHARLES, MO 63303-6708
(314) 239-5859
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
12/18/2023
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