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ST. LOUIS EYE INSTITUTE PC NPI 1396161840


NPI Information

NPI: 1396161840
Provider Name: ST. LOUIS EYE INSTITUTE, PC

Doing Business As: ST. LOUIS EYE INSTITUTE

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 26D2120805

Address:
1585 WOODLAKE DR
SUITE 106
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 326-4800
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ST. LOUIS EYE INSTITUTE, PC is an ophthalmology in Chesterfield, 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. ST. LOUIS EYE INSTITUTE, PC NPI is 1396161840. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St. Louis Eye Institute.

The provider's business location address is:

1585 WOODLAKE DR
SUITE 106
CHESTERFIELD, MO
ZIP 63017-740
Phone: (314) 326-4800

The provider's authorized official is Adam Ross Fedyk .
The authorized official title is Owner and has the following contact phone number (314) 974-7699.

The CLIA number assigned to this NPI record is 26D2120805 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2014 and was last updated on 3/7/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology2008009796MISSOURIYes

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: 4/28/2024

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