O'Fallon Family Eye Care Llc Valid NPI
Organization · Optometrist · O Fallon, MO
- NPI
- 1295030922
- Type
- Organization (Type 2)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 2004030855 (MO)
- Enumerated
- 2011-01-11
- Last updated
- 2024-11-13
Practice location
4142 Keaton Crossing Blvd Ste 102
O Fallon, MO 63368-8403
(636) 614-4655