Organization
RLW, INC.
Active
Other names
Plaza Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L WISSMAN CERTIFIED OPTICAN (PRESIDENT)
(417) 619-1359
Entity
Organization
Contact information
Practice address
1850 S GLENSTONE AVE, SPRINGFIELD, MO 65804-2303
(417) 889-5100
(417) 823-0127
Mailing address
1850 S GLENSTONE AVE, SPRINGFIELD, MO 65804-2303
(417) 889-5100
(417) 823-0127
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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