Organization
JACQUES OPTOMETRY LLC
Active
Other names
Rockwood Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
PETER D JACQUES OD (MANAGING MEMBER)
(636) 706-9896
Entity
Organization
Contact information
Practice address
16972 MANCHESTER RD, WILDWOOD, MO 63040-1200
(636) 477-5187
Mailing address
1747 COUPRU CT, SAINT PETERS, MO 63376-4558
(636) 706-9896
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/24/2021
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