Individual
DR. JON EUGENE TREADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
640 W CHESTNUT ST, SPRINGFIELD, MO 65806-1016
(417) 869-3937
(417) 869-0281
Mailing address
640 W CHESTNUT ST, SPRINGFIELD, MO 65806-1016
(417) 869-3937
(417) 869-0281
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02600
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312243926
—
MO
Enumeration date
07/12/2006
Last updated
07/08/2007
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