Organization
OPHTHALMOLOGY CONSULTANTS, LLC
Active
Other names
Ophthalmology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PRAVOOT GIRA (CMO)
(314) 909-0633
Entity
Organization
Contact information
Practice address
12990 MANCHESTER RD, SUITE 200, SAINT LOUIS, MO 63131-1860
(314) 966-5000
(314) 909-6666
Mailing address
12990 MANCHESTER RD, SUITE 200, SAINT LOUIS, MO 63131-1860
(314) 966-5000
(314) 909-6666
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R1E17
MO
Other
Enumeration date
01/22/2007
Last updated
12/22/2022
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