Organization
THE OPTICAL SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R MEREDITH JR. M.D. (PHYSICIAN/OWNER)
(417) 782-1356
Entity
Organization
Contact information
Practice address
2216 E 32ND STREET, SUITE 202, JOPLIN, MO 64804-3015
(417) 782-1356
(417) 782-7861
Mailing address
2216 E 32ND STREET, SUITE 202, JOPLIN, MO 64804-3015
(417) 782-1356
(417) 782-7861
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
11364068
MO
Other
Enumeration date
07/16/2007
Last updated
02/14/2012
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