Fenton Family Eyecare, Llc

NPI 1740602762 - Optometrist - 152W00000X

NPI Details
NPI 1740602762
Enumeration Date 01/09/2014
Last Updated 01/09/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name VITO VITO
Position OPTOMETRIST
Phone (636) 305-9600
Fax
Practice Location
1391 SMIZER MILL RD
SUITE 102
FENTON MO, 63026-7306, US
Phone (636) 305-9600
Fax
Business Location
1391 SMIZER MILL RD
SUITE 102
FENTON MO, 63026-7306, US
Phone (636) 305-9600
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Missouri
License Number 2010020480
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According to our database, Fenton Family Eyecare, Llc NPI is 1740602762, taxonomy code is 152W00000X and license number is 2010020480, license state is located at Missouri. Fenton Family Eyecare, Llc physically located at 1391 Smizer Mill Rd, Fenton MO, 63026-7306. NPI Number 1033115704 has the healthcare provider type.

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1740602762 NPI number is provided on an as is basis without warranty of any kind. 1740602762 is maintained by the National Plan & Provider Enumeration System. The contents of Fenton Family Eyecare, Llc are for informational purposes only.