Tw White Od PC

NPI #1851623185 in Mount Vernon, Missouri

Provider Information

NPI Number: 1851623185
Entity Type: Organization
Organization Name: Tw White Od PC
Primary Specialty: Optometrist
Enumeration Date: Feb 11, 2010
Last Updated: Feb 11, 2010

Practice Location

Address: 410 W HAYWARD DR
City: Mount Vernon
State: Missouri
ZIP Code: 65712-7368
Phone: (417) 466-2100

Authorized Official

Name: DR. T W WHITE, O.D.
Title: OPTOMETRIC DOCTOR
Phone: (417) 466-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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