Individual
DR. ELIOT G MASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
537 W KARSCH BLVD, FARMINGTON, MO 63640-3312
(573) 747-4133
(573) 747-4533
Mailing address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
(636) 938-2650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046010396
IL
152W00000X
Optometrist
Primary
2011037694
MO
152WL0500X
Low Vision Rehabilitation Optometrist
046010396
IL
152WL0500X
Low Vision Rehabilitation Optometrist
2011037694
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010396
—
IL
Enumeration date
07/19/2010
Last updated
10/02/2014
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