Individual
COLE EDWARD VANDERFELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
202 E NORTH ST, CALIFORNIA, MO 65018-1583
(573) 874-2030
(573) 449-0253
Mailing address
500 N KEENE ST STE 103, COLUMBIA, MO 65201-8104
(573) 874-2030
(573) 449-0253
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2024018653
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/09/2023
Last updated
05/29/2024
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