Individual
TAYLOR WOLKART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
705 INSIGHT AVE, O FALLON, IL 62269-2146
(618) 391-1660
(618) 861-6003
Mailing address
705 INSIGHT AVE, O FALLON, IL 62269-2146
(618) 391-1660
(618) 861-6003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011830
IL
152W00000X
Optometrist
2024020546
MO
Other
Enumeration date
07/14/2021
Last updated
12/11/2025
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