Fredericktown Vision Center INC

NPI #1144368432 in Fredericktown, Missouri

Provider Information

NPI Number: 1144368432
Entity Type: Organization
Organization Name: Fredericktown Vision Center INC
Primary Specialty: Optometrist
Enumeration Date: Feb 1, 2007
Last Updated: Dec 13, 2011

Practice Location

Address: 152 S MAIN ST
City: Fredericktown
State: Missouri
ZIP Code: 63645-1452
Phone: (573) 783-5959

Authorized Official

Name: MRS. CYNTHIA ANN NEEDHAM
Title: MGR
Phone: (573) 783-3573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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