Fontana Eyecare Associates, Llc.

NPI 1770664625 - Optometrist - 152WC0802X

NPI Details
NPI 1770664625
Enumeration Date 10/18/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PAUL DOUGLAS PAUL
Position MANAGER
Phone (314) 353-6171
Fax
Practice Location
16 HAMPTON VILLAGE PLZ
SUITE 249
SAINT LOUIS MO, 63109-2128, US
Phone (314) 353-6171
Fax
Business Location
16 HAMPTON VILLAGE PLZ
SUITE 249
SAINT LOUIS MO, 63109-2128, US
Phone (314) 353-6171
Fax
Toxanomy
Taxonomy Code 152WC0802X
License State Missouri
License Number T02260
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According to our database, Fontana Eyecare Associates, Llc. NPI is 1770664625, taxonomy code is 152WC0802X and license number is T02260, license state is located at Missouri. Fontana Eyecare Associates, Llc. physically located at 16 Hampton Village Plz, Saint Louis MO, 63109-2128. NPI Number 1033115704 has the healthcare provider type.

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1770664625 NPI number is provided on an as is basis without warranty of any kind. 1770664625 is maintained by the National Plan & Provider Enumeration System. The contents of Fontana Eyecare Associates, Llc. are for informational purposes only.