Organization
MJB OPTICAL, INC.
Active
Other names
Main Street Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JOSEPH BOWMAN O.D. (PRESIDENT)
(573) 248-3937
Entity
Organization
Contact information
Practice address
3201 HIGHWAY 61, HANNIBAL, MO 63401-6578
(573) 248-3937
(573) 221-4393
Mailing address
3201 HIGHWAY 61, HANNIBAL, MO 63401-6578
(573) 248-3937
(573) 221-4393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02825
MO
Other
Enumeration date
02/05/2006
Last updated
02/26/2009
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