Organization
BOLIVAR VISION, LLC
Active
Other names
Vision Source Bolivar
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA BETH MONTGOMERY O.D. (OPTOMETRIST/OWNER)
(417) 777-9000
Entity
Organization
Contact information
Practice address
680 E ALDRICH ROAD, BOLIVAR, MO 65613
(417) 777-9000
(417) 777-9003
Mailing address
325 S MAIN AVE, BOLIVAR, MO 65613-2052
(417) 777-9000
(417) 777-9003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
20060182040
MO
Other
Enumeration date
11/12/2014
Last updated
12/21/2023
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