Organization
JOHN H MCDOUGALL OD PC
Active
Other names
Eyecare Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY SHORT (CREDENTIALING MANAGER)
(618) 462-9818
Entity
Organization
Contact information
Practice address
3220 ELK LN, FREMONT, NE 68025-8696
(402) 420-2020
(420) 323-2002
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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