Individual
DR. CAROL L SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1426 E BRADFORD PKWY, SPRINGFIELD, MO 65804-6563
(417) 887-7151
(417) 887-7151
Mailing address
1426 E BRADFORD PKWY, SPRINGFIELD, MO 65804-6563
(417) 887-7151
(417) 887-7151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
D02560
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312243819
—
MO
Enumeration date
03/21/2007
Last updated
07/08/2007
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