Organization
KLEIN EYE CARE I, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT M WOLK O.D. (OPTOMETRIST)
(573) 883-5665
Entity
Organization
Contact information
Practice address
21530 HIGHWAY 32, STE GENEVIEVE, MO 63670-8813
(573) 883-5665
(573) 883-5661
Mailing address
21530 HIGHWAY 32, STE GENEVIEVE, MO 63670-8813
(573) 883-5665
(573) 883-5661
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02815
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312898638
—
MO
01
—
DG8301
PALMETTO GBA
MO
Enumeration date
03/19/2007
Last updated
06/06/2013
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