Organization
SPECIAL CARE VISION OF MISSOURI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA VELTEN CPC (DIRECTOR OF BILLING)
(502) 244-2457
Entity
Organization
Contact information
Practice address
1115 WASHINGTON ST, CHILLICOTHE, MO 64601-1306
(502) 244-2457
Mailing address
12910 SHELBYVILLE RD, 300, LOUISVILLE, KY 40243-1593
(502) 244-2457
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02343
MO
Other
Enumeration date
02/26/2014
Last updated
03/04/2014
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