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Organization

ROSEN OPTOMETRY ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN E ROSEN OD (PRESIDENT)
(314) 968-3660
Entity
Organization

Contact information

Practice address
474 CRESTWOOD PLZ, SAINT LOUIS, MO 63126-1704
(314) 968-3660
(314) 968-2194
Mailing address
474 CRESTWOOD PLZ, SAINT LOUIS, MO 63126-1704
(314) 968-3660
(314) 968-2194

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MO 2404
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
507396307
MO
01
CS9335
MEDICARE RAILROAD
MO
Enumeration date
02/01/2006
Last updated
11/10/2008
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