DR. Justin Lee Hart, O.D.

NPI #1669491296 in Republic, Missouri

Provider Information

NPI Number: 1669491296
Entity Type: Individual
Name: DR. Justin Lee Hart, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 18, 2006
Last Updated: Mar 17, 2010

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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