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DOCTORS EYE CLINIC INC NPI 1043313588


NPI Information

NPI: 1043313588
Provider Name: DOCTORS EYE CLINIC, INC

Doing Business As: DES PERES EYE CENTER

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 26D0999399

Address:
12990 MANCHESTER RD
SUITE 202
ST LOUIS, MO
ZIP 63131
Phone: (314) 432-6137
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DOCTORS EYE CLINIC, INC is an ophthalmology in St Louis, MO. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DOCTORS EYE CLINIC, INC NPI is 1043313588. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Des Peres Eye Center.

The provider's business location address is:

12990 MANCHESTER RD
SUITE 202
ST LOUIS, MO
ZIP 63131-804
Phone: (314) 432-6137
Fax: (314) 432-1237

The provider's authorized official is Kirk Patrick Morey .
The authorized official title is President and has the following contact phone number (314) 432-6137.

The CLIA number assigned to this NPI record is 26D0999399 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 4/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10404790001MEDICARE NSCMISSOURI
2990000015MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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