Individual
MISS JESSICA L. WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
735 INSIGHT AVE, O FALLON, IL 62269-2193
(618) 628-2903
Mailing address
18 N TAYLOR AVE APT 2N, SAINT LOUIS, MO 63108-2121
(618) 971-5453
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
046011537
IL
152WC0802X
Corneal and Contact Management Optometrist
Primary
2021023744
MO
Other
Enumeration date
06/28/2021
Last updated
01/26/2026
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