Organization
CLARKSON EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL NOVEL OD (OPTOMETRIST)
(636) 379-4288
Entity
Organization
Contact information
Practice address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
Mailing address
2525 GREEN MOUNT COMMONS DR SUITE290, BELLEVILLE, IL 62221-6724
(618) 233-7800
(618) 233-7290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2004035653
MO
Other
Enumeration date
11/10/2005
Last updated
11/08/2007
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