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Organization

THE OPTICAL SHOP OF WEST CLAY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANE TROUP (VICE PRESIDENT)
(636) 947-0207
Entity
Organization

Contact information

Practice address
2127 BLUESTONE DR, SUITE 201, SAINT CHARLES, MO 63303-6709
(636) 947-0207
(636) 947-5996
Mailing address
2127 BLUESTONE DR, SUITE 201, SAINT CHARLES, MO 63303-6709
(636) 947-0207
(636) 947-5996

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
02/21/2007
Last updated
02/01/2012
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