Organization
BETHANY EYE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JOSEPH VERACHTERT O.D. (PRESIDENT)
(660) 425-8116
Entity
Organization
Contact information
Practice address
2707 MILLER ST, BETHANY, MO 64424-2704
(660) 425-8116
Mailing address
2707 MILLER ST, BETHANY, MO 64424-2704
(660) 425-8116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
12/18/2007
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