Individual
DR. CARRIE S GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11188 TESSON FERRY RD, STE 100, SAINT LOUIS, MO 63123-6962
(314) 842-5070
(314) 842-2316
Mailing address
660 S EUCLID AVE, C B 8096, SAINT LOUIS, MO 63110-1010
(314) 842-5070
(314) 842-2316
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02777
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312922412
—
MO
Enumeration date
07/18/2006
Last updated
07/17/2009
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