Retina Associates Of St Louis, Inc in Florissant - Retina Specialist
Retina Associates Of St Louis, Inc - NPI 1750581666
Retina Associates Of St Louis, Inc is a Retina Specialist in Florissant, Missouri. Retina Associates Of St Louis, Inc practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Retina Associates Of St Louis, Inc is 1750581666. The last update date is 2022-09-28.
Retina Associates Of St Louis, Inc's current location address is 1224 Graham Rd, Florissant, Missouri. You can contact this provider via phone number 3148931211 and fax number 3148398429. The mailing address for Retina Associates Of St Louis, Inc is 1224 Graham Rd, Florissant, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Retina Associates Of St Louis, Inc |
|---|---|
| Address | 1224 Graham Rd, Florissant, Missouri |
| Phone Number | 3148931211 |
| Fax Number | 3148398429 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE ADM |
|---|---|
| Authorized Official Name | Kleekamp Sherrie |
| Telephone Number | 3148391211 |
NPI Number Detail
| NPI Number | 1750581666 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2022-09-28 |
Provider Mailing Address Detail
| Address | 1224 Graham Rd |
|---|---|
| City | Florissant |
| State | Missouri (MO) |
| Post Code | 630318028 |
| Phone Number | 3148931211 |
| Fax Number | 3148398429 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C17353 | MO | RAILROAD MEDICARE | |
| 502634801 | MO | -- |
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What is the unique 10-digit identification code issued to Retina Associates Of St Louis, Inc by the Centers for Medicare & Medicaid Services?
The Retina Associates Of St Louis, Inc has been assigned the NPI (National Provider Identifier) 1750581666 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Retina Associates Of St Louis, Inc located?
The Retina Associates Of St Louis, Inc is located at 1224 Graham Rd, Florissant, MO 630318028.
What is Retina Associates Of St Louis, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Retina Associates Of St Louis, Inc's area of specialization is Retina Specialist, and the corresponding taxonomy code that categorizes this field of practice is 207Wx0107X.
On what date did Retina Associates Of St Louis, Inc receive its 1750581666 assignment from the Centers for Medicare & Medicaid Services?
The Retina Associates Of St Louis, Inc was assigned its 1750581666 on 2007-07-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Retina Associates Of St Louis, Inc last refreshed?
The information related to the Retina Associates Of St Louis, Inc, including its address, specialty, and other relevant details, was last updated on 2022-09-28.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC