Individual
DR. JAMES R PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
413 OZARK ST, CABOOL, MO 65689-0620
(417) 962-3174
(417) 962-5653
Mailing address
PO BOX 620, CABOOL, MO 65689-0620
(417) 962-3174
(417) 962-5653
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2767
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312561806
—
MO
Enumeration date
10/06/2006
Last updated
06/03/2008
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