Individual
DR. DOLLY ANN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
1207 N ONE MILE RD, DEXTER, MO 63841-1041
(573) 624-4584
(573) 624-4585
Mailing address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
205031543
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0814870002
MEDICARE NSC NUMBER
MO
01
—
0814870006
MEDICARE NSC NUMBER
MO
01
—
0814870015
MEDICARE NSC NUMBER
MO
01
—
0814870017
MEDICARE NSC NUMBER
MO
01
—
137071
HEALTH ALLIANCE
—
01
—
220392
ANTHEM BLUE CROSS BLUE SHIELD
MO
05
—
317565307
—
MO
01
—
MO1543
EYEMED
—
01
—
P00418700 CI6575
MEDICARE RAILROAD
MO
Enumeration date
02/22/2006
Last updated
10/01/2008
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