Organization
PREMIUM VISION SOLUTIONS, LLC
Active
Other names
Fontana Eyecare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ALAN KEMPF O.D. (OWNER)
(314) 353-6171
Entity
Organization
Contact information
Practice address
6451 CHIPPEWA ST, SAINT LOUIS, MO 63109-2104
(314) 353-6171
(314) 353-0031
Mailing address
6451 CHIPPEWA ST, SAINT LOUIS, MO 63109-2104
(314) 353-6171
(314) 353-0031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2003002151
MO
Other
Enumeration date
12/19/2013
Last updated
09/01/2021
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