El Dorado Vision LLC
NPI #1902379266 in El Dorado Springs, Missouri
Provider Information
- NPI Number
- 1902379266
- Entity Type
- Organization
- Organization Name
- El Dorado Vision LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EL DORADO VISION, LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 9, 2019
- Last Updated
- Apr 1, 2019
Practice Location
- Address
- 701 E HOSPITAL RD
- State
- Missouri
- ZIP Code
- 64744
- Phone
- (417) 876-6052
Authorized Official
- Name
- LAURA B MONTGOMERY, O.D.
- Title
- OWNER/OPTOMETRIST
- Phone
- (417) 777-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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