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Organization

SUCCESS VISION EXPRESS OF CAPE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAMERON PICKENS (CREDENTIALING SPECIALIST)
(918) 895-1700
Entity
Organization

Contact information

Practice address
3019 WILLIAM ST STE 103, CAPE GIRARDEAU, MO 63703-6385
(918) 895-1700
Mailing address
5312 W 41ST ST, TULSA, OK 74107-6110

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
10/11/2018
Last updated
10/11/2018
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