Organization
KIMBERLING VISION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA LYNNE WILLIAMS O.D. (CHAIRMAN OF THE BOARD)
(417) 739-2411
Entity
Organization
Contact information
Practice address
1 WOODLAND AVE STE 2, KIMBERLING CITY, MO 65686-9738
(417) 739-2411
(417) 739-2407
Mailing address
1 WOODLAND AVE STE 2, KIMBERLING CITY, MO 65686-9738
(417) 739-2411
(417) 739-2407
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MOTO3116
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317857019
—
MO
Enumeration date
01/22/2007
Last updated
08/30/2011
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