Individual
CASEY CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1229 E SEMINOLE ST STE 110, SPRINGFIELD, MO 65804
(417) 820-9393
Mailing address
1229 E SEMINOLE ST STE 110, SPRINGFIELD, MO 65804-2227
(417) 820-9393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2018017160
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2018
Last updated
05/24/2018
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