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Organization
RETINA CONSULTANTS, LLC
Active
Organization
RETINA CONSULTANTS, LLC
Active
Other names
The Retina Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY DEISS (CREDENTIALING SPECIALIST)
(314) 367-1181
Entity
Organization
Contact information
Practice address
1600 S BRENTWOOD BLVD STE 700, BRENTWOOD, MO 63144-1304
(314) 367-1181
(314) 968-5117
Mailing address
8820 LADUE RD STE 203, SAINT LOUIS, MO 63124-2080
(314) 367-1181
(314) 968-5117
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
04/04/2011
Last updated
10/06/2025
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