Organization
20/20 OPTICAL, LLC
Active
Other names
20/20 Optical
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEENA SULTANA KHAN O.D. (OPTOMETIST/OFFICE MANAGER)
(636) 825-2625
Entity
Organization
Contact information
Practice address
2952 DOUGHERTY FERRY RD, KIRKWOOD, MO 63122-3366
(636) 825-2625
Mailing address
329 CARR MANOR CT, BALLWIN, MO 63021-3304
(636) 527-4097
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3449
MO
Other
Enumeration date
06/22/2006
Last updated
12/01/2009
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