Individual
MACY BREANNE ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
725 S SCOTT BLVD STE 101, COLUMBIA, MO 65203-0432
(573) 446-1600
Mailing address
725 S SCOTT BLVD STE 101, COLUMBIA, MO 65203-0396
(573) 446-1600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2022021450
MO
Other
Enumeration date
06/13/2022
Last updated
12/14/2025
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