Organization
AZALEA EYE CLINICS LLC
Active
Other names
Azalea Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATH PATRICK ROLWING OD (PRESIDENT)
(573) 683-0435
Entity
Organization
Contact information
Practice address
222 E COMMERCIAL ST, CHARLESTON, MO 63834-1749
(573) 233-8168
Mailing address
222 E COMMERCIAL ST, CHARLESTON, MO 63834-1749
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
09/15/2023
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