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Organization
GATEWAY LOW VISION LLC
Active
Organization
GATEWAY LOW VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL M MOGIL OD (CLINICAL DIRECTOR)
(314) 328-9919
Entity
Organization
Contact information
Practice address
522 N NEW BALLAS RD STE 120, SAINT LOUIS, MO 63141-6820
(314) 517-5893
(314) 312-6984
Mailing address
522 N NEW BALLAS RD STE 120, SAINT LOUIS, MO 63141-6820
(314) 328-9919
(314) 228-2104
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
04/19/2023
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