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Organization
ETTINGER OPTOMETRY, LLC
Active
Organization
ETTINGER OPTOMETRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA NATHAN ETTINGER OD (OPTOMETRIST)
(314) 420-7031
Entity
Organization
Contact information
Practice address
143 REPLACEMENT AVE, BUILDING 487, FORT LEONARD WOOD, MO 65473-9092
(573) 329-4860
(573) 329-4860
Mailing address
143 REPLACEMENT AVE, BUILDING 487, FORT LEONARD WOOD, MO 65473-9092
(573) 329-4860
(573) 329-4860
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
T02543
MO
Other
Enumeration date
05/19/2016
Last updated
06/01/2016
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