Organization
EYEGLASS CENTER LLC
Active
Other names
Dr. Kamrian Sue Wilson OD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY EILEEN SUTTON ABOC (FRONT OFFICE MANAGER)
(573) 336-4670
Entity
Organization
Contact information
Practice address
690 MISSOURI AVE STE 22, SAINT ROBERT, MO 65584-4680
(573) 336-4670
(573) 336-5968
Mailing address
690 MISSOURI AVE STE 22, SAINT ROBERT, MO 65584-4680
(573) 336-4670
(573) 336-5968
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
TO3060
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313540411
—
MO
Enumeration date
02/13/2009
Last updated
02/13/2009
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