Visionhealth Eye Center

NPI #1396854790 in Republic, Missouri

Provider Information

NPI Number: 1396854790
Entity Type: Organization
Organization Name: Visionhealth Eye Center
Primary Specialty: Optometrist
Enumeration Date: Aug 30, 2006
Last Updated: Feb 6, 2009

Practice Location

Address: 612 E ELM ST
City: Republic
State: Missouri
ZIP Code: 65738-1552
Phone: (417) 732-5575

Authorized Official

Name: DR. JUSTIN L HART, O.D.
Title: SOLE MEMBER OF LLC
Phone: (417) 732-5575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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