Thomas I Porter, OD Valid NPI
Individual provider · Low Vision Rehabilitation Optometrist · Saint Louis, MO
- NPI
- 1265496871
- Type
- Individual (Type 1)
- Primary specialty
- Low Vision Rehabilitation Optometrist (Optometrist)
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152WL0500X
- License number
- T02178 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-04-12
- Last updated
- 2020-11-05
Practice location
1225 S Grand Blvd
Saint Louis, MO 63104-1016
(314) 977-5200