Organization
WILDWOOD VISION SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE MARIE HAYES O.D. (MANAGING OPTOMETRIST)
(314) 583-1548
Entity
Organization
Contact information
Practice address
2751 FOUNTAIN PL, SUITE 2, WILDWOOD, MO 63040-1202
(314) 583-1548
(636) 273-3918
Mailing address
2751 FOUNTAIN PL, SUITE 2, WILDWOOD, MO 63040-1202
(314) 583-1548
(636) 273-3918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2011018556
MO
152W00000X
Optometrist
Primary
2011018560
MO
Other
Enumeration date
09/23/2011
Last updated
06/24/2013
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