Organization
OBERMARK OPTOMETRY, INC.
Active
Parent organization
OBERMARK OPTOMETRY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OBERMARK OPTOMETRY, INC.
Authorized official
MS. REBECCA MITCHELL OBERMARK RN, BSN, ABOC (OFFICE MANAGER)
(636) 239-7144
Entity
Organization
Contact information
Practice address
113 SOUTH ALVARADO ST, BELLE, MO 65013-0756
(573) 859-6614
(573) 859-6742
Mailing address
PO BOX 756, 113 SOUTH ALVARADO STREET, BELLE, MO 65013-0756
(573) 859-6614
(573) 859-6742
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03188
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317927903
—
MO
01
—
4195 X 1285
HEALTHCARE USA
MO
Enumeration date
02/12/2008
Last updated
04/20/2008
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