Organization
OPTICAL SPECIALISTS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J BANTLE (PRESIDENT-OWNER)
(314) 726-6625
Entity
Organization
Contact information
Practice address
950 FRANCIS PL, CLAYTON, MO 63105-2465
(314) 726-6625
(314) 725-2830
Mailing address
950 FRANCIS PL, CLAYTON, MO 63105-2465
(314) 726-6625
(314) 725-2830
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/15/2006
Last updated
09/23/2008
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