Organization
VISIONHEALTH EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN L HART O.D. (SOLE MEMBER OF LLC)
(417) 732-5575
Entity
Organization
Contact information
Practice address
612 E ELM ST, REPUBLIC, MO 65738-1552
(417) 732-5575
Mailing address
612 E ELM ST, REPUBLIC, MO 65738-1552
(417) 732-5575
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2006018212
MO
Other
Enumeration date
08/30/2006
Last updated
02/06/2009
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