Organization
WOLK OPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT WOLK OD (OWNER)
(636) 586-9745
Entity
Organization
Contact information
Practice address
21530 HWY 32, STE GENEVIEVE, MO 63670-8813
(573) 883-5665
(573) 883-5661
Mailing address
21530 HWY 32, STE GENEVIEVE, MO 63670-8813
(573) 883-5665
(573) 883-5661
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2008017864
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008017864
LICENSE
MO
Enumeration date
06/25/2010
Last updated
03/07/2023
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