Organization
MASSIE OPTOMETRY PC
Active
Parent organization
PERFORMANCE EYECARE
Other names
PERFORMANCE EYECARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERFORMANCE EYECARE
Authorized official
DR. DIRK F MASSIE OD (PRESIDENT)
(618) 234-3053
Entity
Organization
Contact information
Practice address
465 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6824
(314) 878-1377
(314) 878-1384
Mailing address
4111 N ILLINOIS ST, SWANSEA, IL 62226-7609
(618) 234-3053
(618) 234-6331
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2002005316
MO
Other
Enumeration date
11/21/2012
Last updated
08/09/2021
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