James Collins, O.D.

Individual provider Active NPI Optometrist · Bowling Green, MO

NPI 1285749697 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1285749697
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
TO2347 (MO)
Practice address
1004 S Business 61
Bowling Green, MO 63334-5226
Phone
(573) 324-3385
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
TO2347MOMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TO2347 MO Yes

Addresses

Primary practice location

1004 S Business 61
Bowling Green, MO 63334-5226

Mailing address

PO Box 441
Louisiana, MO 63353-0441
Phone (573) 754-5078

Other providers in Bowling Green, MO

All providers in Bowling Green, MO · Optometrist in Missouri

Sources for this page

Verify at the official NPI Registry.