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Organization

MERCY CLINIC-SPRINGFIELD COMMUNITIES

Active
Other names
Mercy Clinic-Lebanon-Eye Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM J ROBERTS (CFO)
(417) 820-7363
Entity
Organization

Contact information

Practice address
331 HOSPITAL DR, SUITE E, LEBANON, MO 65536-9217
(417) 533-7540
(417) 533-6550
Mailing address
341 HOSPITAL DR, LEBANON, MO 65536-9217
(417) 533-6540

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
332B00000X
Durable Medical Equipment & Medical Supplies
106044
MO
332H00000X
Eyewear Supplier
Primary
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
620054937
MO
Enumeration date
06/27/2007
Last updated
09/02/2025
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