Organization
VISION CORP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WACHTER OD (CPO)
(636) 227-2600
Entity
Organization
Contact information
Practice address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
Mailing address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
(636) 938-2650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197511
BCBS
—
01
—
DD5909
RAILROAD MEDICARE
MO
01
—
DF5423
RAILROAD MEDICARE
MO
Enumeration date
03/22/2006
Last updated
10/02/2014
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