Organization
PIERCE VISION SPECIALISTS, LLC
Active
Other names
Pierce Vision Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MARIE KALLMBAH (OFFICE MANAGER)
(417) 887-7151
Entity
Organization
Contact information
Practice address
3626 SOUTH AVE, SPRINGFIELD, MO 65807-6069
(417) 887-7151
(417) 887-7153
Mailing address
3626 SOUTH AVE, SPRINGFIELD, MO 65807-6069
(417) 887-7151
(417) 887-7153
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063758878
—
MO
Enumeration date
12/26/2012
Last updated
09/01/2020
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