Individual
DR. DARCI LEA HUNTER PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
LENSCRAFTERS, 122A S COUNTY CENTER WAY, ST. LOUIS, MO 63129-1092
(314) 416-7588
(314) 416-9368
Mailing address
123A S.COUNTY CENTER WAY, ST. LOUIS, MO 63129
(314) 416-7588
(314) 416-9368
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046-009909
IL
152W00000X
Optometrist
Primary
T03265
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000025571
MEDICARE ID TYPE UNSPECIFIED
MO
01
—
1083643753
NPI
MO
01
—
255715282
MEDICARE IDENTIFIER
IL
Enumeration date
07/03/2006
Last updated
06/11/2019
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