Kent Randall Wolber in Hannibal - Optometrist
Kent Randall Wolber - NPI 1104883560
Kent Randall Wolber is a Optometrist in Hannibal, Missouri. Kent Randall Wolber practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kent Randall Wolber is 1104883560. The last update date is 2018-04-23.
Kent Randall Wolber's current location address is 175 Shinn Ln, Hannibal, Missouri. You can contact this provider via phone number 5734065730 and fax number 5734061369. The mailing address for Kent Randall Wolber is 175 Shinn Ln, Hannibal, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kent Randall Wolber |
|---|---|
| Address | 175 Shinn Ln, Hannibal, Missouri |
| Phone Number | 5734065730 |
| Fax Number | 5734061369 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1104883560 |
|---|---|
| Provider Enumeration Date | 2006-04-28 |
| Last Updated Date | 2018-04-23 |
Provider Mailing Address Detail
| Address | 175 Shinn Ln |
|---|---|
| City | Hannibal |
| State | Missouri (MO) |
| Post Code | 634016754 |
| Phone Number | 5734065730 |
| Fax Number | 5734061369 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | T02786 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 312852700 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kent Randall Wolber by the Centers for Medicare & Medicaid Services?
The Kent Randall Wolber has been assigned the NPI (National Provider Identifier) 1104883560 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kent Randall Wolber?
The Kent Randall Wolber is physically situated at 175 Shinn Ln, in the city of Hannibal, state of MO, with the postal code 634016754.
What is the area of specialization for Kent Randall Wolber, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kent Randall Wolber is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
When did Kent Randall Wolber receive its 1104883560 assignment?
The Kent Randall Wolber was assigned its 1104883560 on 2006-04-28, which is the date when this unique identifier was issued to the organization.
When was the information related to Kent Randall Wolber most recently updated or refreshed?
The details pertaining to the Kent Randall Wolber, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-04-23.