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1568873602
OTIS OPTOMETRY, LLC
CAMDENTON, MO
NPI
1568873602
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Entity Type
Organization
Authorized Contact
MATT DAVID WICKHAM
Owner
314-276-1228
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO TO3134)
Enumeration Date
2014-05-12
Last Update Date
2014-07-29
Business Address
OTIS OPTOMETRY, LLC
94 CECIL ST
CAMDENTON, MO 65020-7057
Phone number: 573-317-9279
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Mailing Address
OTIS OPTOMETRY, LLC
1939 WENTZVILLE PKWY STE 166
WENTZVILLE, MO 63385-3424
Phone number: 636-812-3821
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