John J. Konopik, O.D. Valid NPI
Individual provider · Optometrist · O Fallon, MO
- NPI
- 1760450696
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 2005019551 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-03-08
- Last updated
- 2017-04-21
Practice location
361 Winding Woods Ctr
O Fallon, MO 63366-4170
(636) 281-5367