Individual
DR. DONNA JO PRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
200 W PARK MALL, JC PENNEY OPTICAL, CAPE GIRARDEAU, MO 63703-6341
(573) 335-1930
(573) 334-9493
Mailing address
200 W PARK MALL, JC PENNEY OPTICAL, CAPE GIRARDEAU, MO 63703-6341
(573) 335-1930
(573) 334-9493
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2003025361
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216516
EYEMED PROVIDER
MO
Enumeration date
03/02/2007
Last updated
07/08/2007
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