Organization
NESTLEROAD AND ROBERTS, OPTOMETRISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA BURDETT (OFFICE MANAGER)
(417) 235-5250
Entity
Organization
Contact information
Practice address
507 E CLEVELAND AVE, MONETT, MO 65708-1750
(417) 235-5250
(417) 235-5259
Mailing address
PO BOX 351, MONETT, MO 65708-0351
(417) 235-5250
(417) 235-5259
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
530163807
—
MO
Enumeration date
09/27/2006
Last updated
05/18/2018
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