Organization
SUCCESS VISION EYECARE OF CAPE, LLC
Active
Other names
Success Vision Eyecare of Cape
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE DAVYDOVA (AUTHORIZED OFFICIAL)
(918) 800-2020
Entity
Organization
Contact information
Practice address
3019 WILLIAM ST STE 102, CAPE GIRARDEAU, MO 63703-6385
(918) 895-1700
Mailing address
5312 W 41ST ST, TULSA, OK 74107-6110
(918) 895-1700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
09/07/2021
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