Organization
KEVIN K.E. CARL, O.D. DBA EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN K CARL O.D. (OWNER)
(573) 378-6646
Entity
Organization
Contact information
Practice address
506 W NEWTON ST, VERSAILLES, MO 65084-1068
(573) 378-6646
(573) 378-6864
Mailing address
506 W NEWTON ST, VERSAILLES, MO 65084-1068
(573) 378-6646
(573) 378-6864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02658
MO
Other
Enumeration date
06/04/2006
Last updated
08/22/2020
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