Organization
PHYSICIANS OPTICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOSEPH LOOTENS JR. (OWNER)
(537) 635-1333
Entity
Organization
Contact information
Practice address
1705 CHRISTY DR, STE 103, JEFFERSON CITY, MO 65101-5195
(573) 635-1333
Mailing address
1705 CHRISTY DR, STE 103, JEFFERSON CITY, MO 65101-5195
(573) 635-1333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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