Organization
JOE M. BENNETT, D.O., & ASSOCIATES, P.C.
Active
Other names
DBA Physicians & Surgeons Optical Service, Ltd.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE M. BENNETT D.O. (OWNER)
(660) 826-6633
Entity
Organization
Contact information
Practice address
1706 S LAFAYETTE AVE, SEDALIA, MO 65301-7542
(660) 826-4729
(660) 826-6440
Mailing address
1708 S LAFAYETTE AVE, SEDALIA, MO 65301-7542
(660) 826-6633
(660) 826-6440
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
12333671
MO
Other
Enumeration date
04/17/2007
Last updated
11/02/2007
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