Avc Optometry INC

NPI #1740863109 in O Fallon, Illinois

Provider Information

NPI Number: 1740863109
Entity Type: Organization
Organization Name: Avc Optometry INC
Subpart: Yes (part of a larger organization)
Parent Organization: AVC OPTOMETRY INC
Primary Specialty: Optometrist
Enumeration Date: May 4, 2021
Last Updated: May 4, 2021

Practice Location

Address: 821 W HIGHWAY 50
City: O Fallon
State: Illinois
ZIP Code: 62269-1828
Phone: (618) 464-0199

Authorized Official

Name: JOSHUA DAVID WILSON, OD
Title: OWNER
Phone: (618) 327-3231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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