O'fallon Family Eye Care Llc

NPI 1295030922 - Optometrist - 152W00000X

NPI Details
NPI 1295030922
Enumeration Date 01/11/2011
Last Updated 10/08/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JOSEPH P JOSEPH
Position OWNER
Phone (636) 614-4655
Fax
Practice Location
4142 KEATON CROSSING BLVD
SUITE 103
O FALLON MO, 63368-8404, US
Phone (636) 614-4655
Fax
Business Location
4142 KEATON CROSSING BLVD
SUITE 103
O FALLON MO, 63368-8404, US
Phone (636) 614-4655
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Missouri
License Number 2004030855
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According to our database, O'fallon Family Eye Care Llc NPI is 1295030922, taxonomy code is 152W00000X and license number is 2004030855, license state is located at Missouri. O'fallon Family Eye Care Llc physically located at 4142 Keaton Crossing Blvd, O Fallon MO, 63368-8404. NPI Number 1033115704 has the healthcare provider type.

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1295030922 NPI number is provided on an as is basis without warranty of any kind. 1295030922 is maintained by the National Plan & Provider Enumeration System. The contents of O'fallon Family Eye Care Llc are for informational purposes only.