Organization
WILLIAM ODNEAL, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J ODNEAL O.D. (OPTOMETRIST/OWNER)
(573) 883-2774
Entity
Organization
Contact information
Practice address
466 MARKET ST, STE GENEVIEVE, MO 63670-1520
(573) 883-2774
(573) 883-9087
Mailing address
466 MARKET ST, PO BOX 463, STE GENEVIEVE, MO 63670-1520
(573) 883-2774
(573) 883-9087
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2366
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310040316
—
MO
Enumeration date
03/16/2015
Last updated
03/16/2015
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