Organization
FARMINGTON VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT MICHAEL WOLK OD (OWNER/OPTOMETRIST)
(573) 883-5665
Entity
Organization
Contact information
Practice address
110 E HARRISON ST, FARMINGTON, MO 63640
(573) 756-5665
Mailing address
21530 HWY 32 STE A, STE GENEVIEVE, MO 63670-8813
(573) 883-5665
(573) 883-5661
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MO
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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