Tw White Od PC
NPI #1639347016 in Mount Vernon, Missouri
Provider Information
- NPI Number
- 1639347016
- Entity Type
- Organization
- Organization Name
- Tw White Od PC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Feb 19, 2008
- Last Updated
- Mar 6, 2008
Practice Location
- Address
- 410 W HAYWARD DR
- City
- Mount Vernon
- State
- Missouri
- ZIP Code
- 65712-7368
- Phone
- (417) 466-2100
Authorized Official
- Name
- DR. THEODORE WM WHITE SR., O.D.,PC
- Title
- OPTOMETRIST
- Phone
- (417) 466-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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