Organization · Type 2 NPI
Medro Joseph Brodeur Iii, O.d., P.c.
Eyewear Supplier · Owensville, MO
NPI number
1790978575
Active
Practice location
531 E Washington Ave
Owensville, MO 65066-1410
Fax (573) 437-8004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | TO2435 (MO) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
2 other providers at this address
About NPI 1790978575
Medro Joseph Brodeur Iii, O.d., P.c.'s National Provider Identifier is 1790978575, issued on Aug 24, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Owensville, MO. The record was last updated on Feb 21, 2013.