Organization
ST PETERS VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LELAND JACOB O.D. (PRESIDENT)
(636) 970-2929
Entity
Organization
Contact information
Practice address
6664 MEXICO RD, SAINT PETERS, MO 63376-4131
(636) 970-2929
(636) 279-9020
Mailing address
6664 MEXICO RD, SAINT PETERS, MO 63376-4131
(636) 970-2929
(636) 279-9020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2230
MO
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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