Individual
JAMES COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1004 S BUSINESS 61, BOWLING GREEN, MO 63334-5226
(573) 324-3385
Mailing address
PO BOX 441, LOUISIANA, MO 63353-0441
(573) 754-5078
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2347
MO
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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