Organization
NEOSHO OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD D SWIFT OD (PRESIDENT)
(417) 451-3358
Entity
Organization
Contact information
Practice address
602 W MCCORD ST, NEOSHO, MO 64850-1320
(417) 451-3358
(417) 451-3413
Mailing address
PO BOX 340, NEOSHO, MO 64850-0340
(417) 451-3358
(417) 451-3413
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2086
MO
Other
Enumeration date
12/06/2006
Last updated
01/31/2008
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