Organization
SOUTHWEST OZARK OPTOMETRIC PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON LEIGH HOODKIRAR OD (VICE PRESIDENT)
(417) 276-6254
Entity
Organization
Contact information
Practice address
2451 S SPRINGFIELD AVE, BOLIVAR, MO 65613-9123
(417) 777-7662
(417) 777-6917
Mailing address
508 E PETTY LN, STOCKTON, MO 65785-9291
(417) 276-6254
(417) 667-2707
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2003015541
MO
Other
Enumeration date
07/04/2007
Last updated
08/22/2020
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