Bolivar Vision, LLC

NPI #1578969960 in Bolivar, Missouri

Provider Information

NPI Number: 1578969960
Entity Type: Organization
Organization Name: Bolivar Vision, LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 12, 2014
Last Updated: Dec 21, 2023

Practice Location

Address: 680 E ALDRICH ROAD
City: Bolivar
State: Missouri
ZIP Code: 65613
Phone: (417) 777-9000

Authorized Official

Name: DR. LAURA BETH MONTGOMERY, O.D.
Title: OPTOMETRIST/OWNER
Phone: (417) 777-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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