Individual
DR. VITO VRICELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1391 SMIZER MILL RD, SUITE 102, FENTON, MO 63026-7306
(636) 305-9600
Mailing address
1391 SMIZER MILL RD, SUITE 102, FENTON, MO 63026-7306
(636) 305-9600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.010363
IL
152W00000X
Optometrist
Primary
2010020480
MO
Other
Enumeration date
09/01/2009
Last updated
01/07/2014
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