Organization
HARRY C EGGLESTON MD PC II
Active
Other names
eagle eye care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY EGGLESTON MD (OWNER)
(314) 872-7744
Entity
Organization
Contact information
Practice address
633 EMERSON RD, STE 100, CREVE COEUR, MO 63141-6739
(314) 872-7744
(314) 810-5296
Mailing address
PO BOX 790051, SAINT LOUIS, MO 63179-0051
(314) 872-7744
(314) 810-5296
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R4544
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011504
MEDICARE PIN
MO
01
—
069464001
CIGNA
MO
01
—
0800077
UNITED HEALTHCARE
MO
01
—
101139
HEALTHLINK
MO
01
—
17203
BCBS
MO
01
—
4039678
AETNA
MO
01
—
45050
GHP
MO
01
—
A10830
GREAT WEST HEALTHCARE
MO
01
—
CS9334
RAILROAD MEDICRE
MO
Enumeration date
11/19/2007
Last updated
04/20/2010
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