Organization
J.E.A. WEGENER INC
Active
Other names
Richards & Wegener, Optometrists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN G. WEGENER OD (PRESIDENT)
(816) 896-0225
Entity
Organization
Contact information
Practice address
42 WESTWOODS DR, LIBERTY, MO 64068
(816) 781-0500
Mailing address
42 WESTWOODS DR, LIBERTY, MO 64068-3519
(816) 896-0225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2012027842
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154669968
—
MO
Enumeration date
08/05/2018
Last updated
10/29/2018
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