Organization
ST CHARLES EYE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN C KNICHEL (OFFICE MANAGER)
(636) 724-7116
Entity
Organization
Contact information
Practice address
1005 FAIRGROUNDS RD, SAINT CHARLES, MO 63301-2338
(636) 724-7116
(636) 916-4627
Mailing address
1005 FAIRGROUNDS RD, SAINT CHARLES, MO 63301-2338
(636) 724-7116
(636) 916-4627
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108432
HEALTHLINK
MO
01
—
3841
GHP
MO
Enumeration date
08/18/2006
Last updated
09/07/2007
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