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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