Organization
SPRINGFIELD EYE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ZACHERY BARTELS OD, FAAO (OWNER)
(417) 470-3937
Entity
Organization
Contact information
Practice address
3041 S KIMBROUGH AVE, SPRINGFIELD, MO 65807-4856
(417) 470-3937
(417) 470-3938
Mailing address
3041 S KIMBROUGH AVE, SPRINGFIELD, MO 65807-4856
(417) 470-3937
(417) 470-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T02895
MO
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2015011922
MO
332H00000X
Eyewear Supplier
2015011922
MO
Other
Enumeration date
11/17/2017
Last updated
04/30/2024
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