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NPI 1023122017

IndividualActive

Brandon Rouse, OD

NPI 1023122017 · Optometrist · Kennett, MO

Provider details

NPI number: 1023122017
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: OD
Sex: Male
Sole proprietor: No
License: T03483 (MO)

Practice location

1301 Cook St

Kennett, MO 63857-3259

Phone: (573) 888-2884

Fax: (575) 888-3799

More MO providers

Mailing address

Po Box 807

Kennett, MO 63857

Registry dates

Enumerated: 2006-08-18
Last updated: 2012-12-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brandon Rouse, OD — NPI 1023122017, Kennett, MO | NPI Central