Organization
ROUSE VISION CLINIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBEY A DAVIS (OFFICE MANAGER)
(573) 888-2884
Entity
Organization
Contact information
Practice address
1301 COOK ST, KENNETT, MO 63857-3259
(573) 888-2884
(573) 888-3799
Mailing address
PO BOX 807, KENNETT, MO 63857-0807
(573) 888-2884
(573) 888-3799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314803701
—
MO
Enumeration date
04/24/2012
Last updated
05/10/2024
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