Organization
JERRY D. KING, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY D. KING O.D. (SOLE PROPRIETOR)
(573) 392-7126
Entity
Organization
Contact information
Practice address
115 N OAK ST, ELDON, MO 65026-1444
(573) 392-7126
Mailing address
115 N OAK ST, ELDON, MO 65026-1444
(573) 392-7126
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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