| |
401 N Euclid Ave, Saint Louis, MO 63108-1601 | |
(314) 367-1848 | |
(314) 367-1860 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist - Optician |
Location | 401 N Euclid Ave, Saint Louis, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770879496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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401 N Euclid Ave, Saint Louis, MO 63108-1601 Ph: (314) 367-1848 | 401 N Euclid Ave, Saint Louis, MO 63108-1601 Ph: (314) 367-1848 |