Organization
HART FAMILY EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A HART O.D. (OWNER)
(417) 255-2010
Entity
Organization
Contact information
Practice address
808 N KENTUCKY AVE, WEST PLAINS, MO 65775-2023
(417) 255-2010
Mailing address
808 N KENTUCKY AVE, WEST PLAINS, MO 65775-2023
(417) 255-2010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2006018277
MO
152WL0500X
Low Vision Rehabilitation Optometrist
2006018277
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507025401
—
MO
Enumeration date
03/21/2008
Last updated
09/07/2012
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