Organization
JERMIK SYSTEMS, LTD
Active
Other names
Kursar Eyecare, Ltd.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD H KURSAR DO (OWNER)
(314) 291-7717
Entity
Organization
Contact information
Practice address
3454 MCKELVEY RD, BRIDGETON, MO 63044-2533
(314) 291-7717
(314) 291-7372
Mailing address
3454 MCKELVEY RD, BRIDGETON, MO 63044-2533
(314) 291-7717
(314) 291-7372
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2001018118
MO
152W00000X
Optometrist
2005020537
MO
207W00000X
Ophthalmology Physician
Primary
30117
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23976
BCBS
MO
05
—
240438606
—
MO
01
—
CJ9636
MEDICARE RAILROAD
MO
Enumeration date
12/21/2007
Last updated
12/03/2010
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