Individual
DR. DAVID D ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
735 INSIGHT AVE, O FALLON, IL 62269-2193
(618) 628-2903
(618) 628-2913
Mailing address
735 INSIGHT AVE, O FALLON, IL 62269-2193
(618) 628-2903
(618) 628-2913
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010290
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010290
—
IL
01
—
1295778587
NPI GROUP
IL
Enumeration date
07/22/2009
Last updated
12/11/2019
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