Organization
ENVISION EYE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY J ALBERT (PRACTICE MANAGER)
(636) 717-1700
Entity
Organization
Contact information
Practice address
1011 BOWLES AVE, SUITE 200, FENTON, MO 63026-2387
(636) 717-1700
(636) 203-4727
Mailing address
1011 BOWLES AVE, SUITE 200, FENTON, MO 63026-2387
(636) 717-1700
(636) 203-4727
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2005009915
MO
Other
Enumeration date
12/19/2008
Last updated
04/28/2015
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