Organization
INNOVATIVE VISION HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON LAW O.D. (OWNER)
(816) 331-9590
Entity
Organization
Contact information
Practice address
101 APPLE VALLEY PKWY, BELTON, MO 64012-4725
(816) 331-9590
(816) 368-9281
Mailing address
101 APPLE VALLEY PKWY, BELTON, MO 64012-4725
(816) 331-9590
(816) 368-9281
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2008017076
MO
152W00000X
Optometrist
Primary
2015032220
MO
152WC0802X
Corneal and Contact Management Optometrist
2008017076
MO
152WC0802X
Corneal and Contact Management Optometrist
2015032220
MO
152WV0400X
Vision Therapy Optometrist
2015032220
MO
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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