Individual
DR. NICOLE DYAN VERACHTERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6325 LEWIS DR, SUITE 114, PARKVILLE, MO 64152-3699
(816) 505-0100
(816) 505-2301
Mailing address
6420 NW FOREST CT, PARKVILLE, MO 64152-3139
(816) 880-0242
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03469
MO
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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