Organization
GENE BROWN OPTICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA KAY HUDSON (OPTICIAN)
(573) 445-8636
Entity
Organization
Contact information
Practice address
2101 W BROADWAY, COLUMBIA, MO 65203-7632
(573) 445-8636
(573) 446-9122
Mailing address
2101 W BROADWAY, COLUMBIA, MO 65203-7632
(573) 445-8636
(573) 446-9122
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
10050400
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8096
HEALTHCARE USA
MO
Enumeration date
05/08/2007
Last updated
08/22/2020
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