Organization
VISION CARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK V. MADDOX O.D. (OWNER/MANAGER)
(660) 385-5724
Entity
Organization
Contact information
Practice address
1705 PROSPECT DR, MACON, MO 63552-2602
(660) 385-5724
(660) 385-3924
Mailing address
1705 PROSPECT DR, MACON, MO 63552-2602
(660) 385-5724
(660) 385-3924
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
535080006
—
MO
01
—
RS13708
NDCPC ID
MO
Enumeration date
10/27/2006
Last updated
01/26/2010
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