Organization
MERCY CLINIC-SPRINGFIELD COMMUNITIES
Active
Other names
Mercy Clinic Eye Specialists- Optical Shop-Nixa
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J ROBERTS (CFO)
(417) 820-7363
Entity
Organization
Contact information
Practice address
940 W MOUNT VERNON ST, SUITE 120, NIXA, MO 65714-9609
(417) 724-5335
(417) 724-5333
Mailing address
940 W MOUNT VERNON ST STE 120, NIXA, MO 65714-9614
(417) 724-5335
(417) 725-5333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
Primary
—
MO
Other
Enumeration date
06/25/2007
Last updated
05/08/2024
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