Organization · Type 2 NPI
Bolivar Eye Specialty Center
Medical Specialty Clinic/Center · Bolivar, MO
Practice location
1630 Killingsworth Ave, Suite 2B
Bolivar, MO 65613-2282
Fax (417) 777-2224
Mailing address
PO Box 539
Bolivar, MO 65613-0539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 2006031059 (MO) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
3 other providers at this address
About NPI 1750460382
Bolivar Eye Specialty Center's National Provider Identifier is 1750460382, issued on Nov 3, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Bolivar, MO. The record was last updated on Jan 31, 2013.