Organization
OBERMARK OPTOMETRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA MITCHELL OBERMARK RN, BSN, ABOC (OFFICER / MANAGER)
(636) 239-7144
Entity
Organization
Contact information
Practice address
222 W MAIN ST, WASHINGTON, MO 63090-2154
(636) 239-7144
(636) 239-6266
Mailing address
222 W MAIN ST, WASHINGTON, MO 63090-2154
(636) 239-7144
(636) 239-6266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317927903
—
MO
01
—
4195 X 1285
HEALTHCARE USA
MO
Enumeration date
01/23/2008
Last updated
04/20/2008
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