Organization
BILL MCCOY, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL MCCOY O.D. (PRESIDENT)
(573) 729-3937
Entity
Organization
Contact information
Practice address
405 W 4TH ST, SALEM, MO 65560-1212
(573) 729-3937
(573) 729-6298
Mailing address
405 W 4TH ST, SALEM, MO 65560-1212
(573) 729-3937
(573) 729-6298
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02239
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108570
BLUE CROS BLUE SHIELD OF MISSOURI
MO
05
—
310570502
—
MO
Enumeration date
05/06/2008
Last updated
02/22/2011
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