DESMON PAIGE CARL OD

EYE CLINIC LLC

Dr DESMON PAIGE CARL OD is a male medical professional, specializing in Optometry. He graduated in 2004 from Southern College Of Optometry.

Contact

EYE CLINIC LLC

506 W NEWTON ST
VERSAILLES
MO
650841068

Tel: 5733786646

DESMON PAIGE CARL OD Information

Npi 1073518247
Pac Id 7719945898
Professional Enrollment Id I20041221000308
Last Name CARL
First Name DESMON
Middle Name PAIGE
Suffix
Gender M
Credential OD
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 2004
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EYE CLINIC LLC
Group Practice Pac Id 6305985599
Number Of Group Practice Members 2
Line 1 Street Address 506 W NEWTON ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VERSAILLES
State MO
Zip Code 650841068
Phone Number 5733786646
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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