Organization
CANDACE NICOLE SMITH
Active
Other names
Optical Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDACE NICOLE SMITH (OWNER)
(417) 257-9631
Entity
Organization
Contact information
Practice address
1522 PORTER WAGONER BLVD STE 1, WEST PLAINS, MO 65775-1832
(417) 256-6625
Mailing address
2119 ROSEMOOR ST, WEST PLAINS, MO 65775-4119
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/13/2008
Last updated
06/29/2008
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