Organization
CARTHAGE EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMRA LEONA SORIANO O.D. (OWNER)
(417) 358-2950
Entity
Organization
Contact information
Practice address
130 E 4TH ST, CARTHAGE, MO 64836-1627
(417) 358-2950
(417) 358-4204
Mailing address
130 E 4TH ST, CARTHAGE, MO 64836-1627
(417) 358-2950
(417) 358-4204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
537463200
—
MO
Enumeration date
11/11/2005
Last updated
03/09/2018
Update your record
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