NPI 1023122017

Brandon Douglas Rouse, OD

Practitioner Optometrist Kennett, MO

Practice location

Address: 1301 Cook St, Kennett, MO 63857-3259
Phone: (573) 888-2884
Fax: (575) 888-3799
Mailing address: PO Box 807 1301 Cook St, Kennett, MO 63857

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence T03483 (MO)

Other Optometrist providers in Missouri →

Registry record

NPI: 1023122017
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2006
Record last updated: 4 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.