Organization
JEFFREY D. COLEMAN, O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DAVID COLEMAN O.D. (OPTOMETRIST)
(417) 782-3488
Entity
Organization
Contact information
Practice address
2623 W 7TH ST, JOPLIN, MO 64801-3300
(417) 206-4880
(417) 206-4545
Mailing address
2203 E 32ND ST, JOPLIN, MO 64804-3126
(417) 782-3488
(417) 782-8150
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2009009189
MO
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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