NPI 1891145827

Matthew Hansen, OD

Practitioner Optometrist Ozark, MO

Practice location

Address: 1106 W Jackson St, Ozark, MO 65721-9164
Phone: (417) 581-3548
Mailing address: PO Box 505164, Saint Louis, MO 63150-5164

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2016020876 (MO)

Other Optometrist providers in Missouri →

Registry record

NPI: 1891145827
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2016
Record last updated: 21 Jun 2016

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.