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Molly June Stacks, OD
Optometrist in Edwardsville, Illinois
NPI 1164126793

Molly June Stacks is a Optometrist based in Dallas, IL. Molly June Stacks practices in Edwardsville, IL and has the professional credentials of OD. The NPI Number for Molly June Stacks is 1164126793 and holds a License No. (Illinois).

The current practice location address for Molly June Stacks is 2121 S State Route 157, Edwardsville, IL and can be reached out via phone at 618-656-7774 and via fax at 618-656-0536.

Location: 2121 S State Route 157, Edwardsville, IL, 75320-7163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164126793
Provider Name
Molly June Stacks
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
2121 S State Route 157, Edwardsville, IL, 75320-7163
Phone Number
618-656-7774
Fax Number
618-656-0536
Provider Enumeration Date
03/28/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2121 S State Route 157
City
Edwardsville
State
Illinois
Zip
62025-3691
Phone Number
618-656-7774
Fax Number
618-656-0536
person
Provider Business Mailing Address Details
Address
2121 S State Route 157
City
Edwardsville
State
Illinois
Zip
62025-3691
Phone Number
618-656-7774
Fax Number
618-656-0536
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
046.011735 (Illinois)
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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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