BOLIVAR VISION LLC NPI 1578969960

NPI Details

BOLIVAR VISION, LLC is an optometrist in Bolivar, MO. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. BOLIVAR VISION, LLC NPI is 1578969960. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vision Source Bolivar.

The provider's business location address is:

680 E ALDRICH ROAD
BOLIVAR, MO
ZIP 65613
Phone: (417) 777-9000
Fax: (417) 777-9003

The provider's authorized official is Laura Beth Montgomery .
The authorized official title is Optometrist/owner and has the following contact phone number (417) 777-9000.

The CLIA number assigned to this NPI record is 26D2068551 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2014 and was last updated on 12/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: