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Organization

KIRKS EYE CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES MATTHEW KIRKS O.D. (OPTOMETRIST)
(636) 561-6000
Entity
Organization

Contact information

Practice address
108 BREVCO PLZ, LAKE ST LOUIS, MO 63367-1399
(636) 561-6000
Mailing address
108 BREVCO PLZ, LAKE ST LOUIS, MO 63367-1399
(636) 561-6000

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03342
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
318844016
MO
Enumeration date
05/16/2008
Last updated
05/16/2008
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