Organization
FENTON EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE REDING (MANAGER)
(636) 343-6664
Entity
Organization
Contact information
Practice address
622 GRAVOIS RD, FENTON, MO 63026-4137
(636) 343-6664
Mailing address
622 GRAVOIS RD, FENTON, MO 63026-4137
(636) 343-6664
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2138
TN
Other
Enumeration date
01/06/2010
Last updated
03/08/2010
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