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CURATORS OF THE UNIVERSITY OF MISSOURI NPI 1417049610


NPI Information

NPI: 1417049610
Provider Name: CURATORS OF THE UNIVERSITY OF MISSOURI

Doing Business As: EAST ST. LOUIS EYE CLINIC

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
601 JAMES R. THOMPSON BLVD
BUILDING D, STE 2030
EAST ST. LOUIS, IL
ZIP 62201
Phone: (618) 482-8355
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CURATORS OF THE UNIVERSITY OF MISSOURI is an optometrist in East St. Louis, IL. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. CURATORS OF THE UNIVERSITY OF MISSOURI NPI is 1417049610. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East St. Louis Eye Clinic.

The provider's business location address is:

601 JAMES R. THOMPSON BLVD
BUILDING D, STE 2030
EAST ST. LOUIS, IL
ZIP 62201-129
Phone: (618) 482-8355
Fax: (618) 482-8360

The provider's authorized official is Vinita A Henry .
The authorized official title is Director Of Clinical Operations and has the following contact phone number (314) 516-6532.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 6/10/2020.


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
1152W00000XOptometristILLINOISYes

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
190-0294049OTHERMISSOURISUB-TIN

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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