Organization
ROSEN OPTOMETRY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN E ROSEN OD (PRESIDENT)
(314) 416-1399
Entity
Organization
Contact information
Practice address
415 S COUNTY CENTER WAY, SAINT LOUIS, MO 63129-1014
(314) 416-1399
(314) 416-0753
Mailing address
415 S COUNTY CENTER WAY, SAINT LOUIS, MO 63129-1014
(314) 416-1399
(314) 416-0753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MO2404
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507407906
—
MO
01
—
CS9335
MEDICARE RAILROAD
MO
Enumeration date
02/28/2006
Last updated
11/10/2008
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