# VISION SURGICAL ARTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oral Facial Surgery Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366039075
- **Authorized official:** LACY WILSON (BUSINESS MANAGER)
- **Authorized official phone:** (314) 251-6725

## Contact information

- **Practice address:** 621 S NEW BALLAS RD STE 16A, SAINT LOUIS, MO 63141-8239
- **Practice address phone:** (314) 251-6725
- **Mailing address:** 621 S NEW BALLAS RD STE 16A, SAINT LOUIS, MO 63141-8239
- **Mailing address phone:** (314) 251-6725
- **Mailing address fax:** (314) 251-6726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2020
- **Last updated:** 03/04/2024