RETINA ASSOCIATES OF ST LOUIS INC NPI 1750581666

NPI Information

RETINA ASSOCIATES OF ST LOUIS, INC is a retina specialist ophthalmology in Florissant, MO. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RETINA ASSOCIATES OF ST LOUIS, INC NPI is 1750581666. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1224 GRAHAM RD
SUITE 3011
FLORISSANT, MO
ZIP 63031-028
Phone: (314) 893-1211
Fax: (314) 839-8429

The provider's authorized official is Sherrie Kleekamp .
The authorized official title is Office Administrator and has the following contact phone number (314) 839-1211.

The CLIA number assigned to this NPI record is 26D2048945 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 6/27/2019.

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:

Other Identifiers

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