Organization
WELLS EYE CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY A WELLS O.D. (OPTOMETRIST)
(870) 740-2263
Entity
Organization
Contact information
Practice address
1500 1ST ST, KENNETT, MO 63857-2522
(573) 888-5331
(573) 888-1335
Mailing address
628 LEAH LN, MANILA, AR 72442-9128
(870) 740-2263
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MO2008017057
MO
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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