| NPI | 1629334222 |
|---|---|
| Doing Business As | MERCY CLINIC EYE SPECIALISTS OPTICAL SHOP-ROLLA |
| Entity Type | Organization |
| Authorized Contact | STUART STANGELAND Sr. VP/COO 417-820-3514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO T03477) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MO T03477) |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2015-12-02 |