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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