Organization
M.T. ALDRICH, OD, OPTOMETRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX T ALDRICH OD (OWNER/OPTOMETRIST)
(816) 279-2339
Entity
Organization
Contact information
Practice address
1427 VILLAGE DR, SAINT JOSEPH, MO 64506-2459
(816) 279-2339
(816) 279-0110
Mailing address
1427 VILLAGE DR, SAINT JOSEPH, MO 64506-2459
(816) 279-2339
(816) 279-0110
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
T02103
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310043104
—
MO
Enumeration date
09/04/2007
Last updated
08/04/2008
Update your record
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