Organization
DAVID R COLEMAN OD LLC
Active
Organization
DAVID R COLEMAN OD LLC
Active
Other names
Coleman Vision Improvement Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R COLEMAN TO2322 (OWNER)
(417) 782-3488
Entity
Organization
Contact information
Practice address
1030 SE MURPHY BLVD, JOPLIN, MO 64801-5043
(417) 782-3488
(417) 782-8150
Mailing address
1030 SE MURPHY BLVD, JOPLIN, MO 64801-5043
(417) 782-3488
(417) 782-8150
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
TO2322
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090450B
—
KS
05
—
311427801
—
MO
Enumeration date
07/29/2009
Last updated
02/03/2011
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