Organization
OVERLAND OPTICAL, INC.
Active
Other names
Overland Optical Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL GENE DENTSBIER ABOC (OWNER/PRESIDENT - OPTICIAN)
(314) 423-3874
Entity
Organization
Contact information
Practice address
2533 WOODSON RD, SAINT LOUIS, MO 63114-5436
(314) 423-3874
(888) 423-0074
Mailing address
2533 WOODSON RD, SAINT LOUIS, MO 63114-5436
(314) 423-3874
(888) 423-0074
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
036582
MO
Other
Enumeration date
07/15/2006
Last updated
01/13/2011
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