Organization
JJ OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMAL JAMES FOX OD (OPTOMETRIST)
(314) 838-3311
Entity
Organization
Contact information
Practice address
3819 VAILE AVE, FLORISSANT, MO 63034
(314) 838-3311
Mailing address
3819 VAILE AVE, FLORISSANT, MO 63034
(314) 838-3311
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2006001515
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311309900
—
MO
05
—
89093MP
—
NC
Enumeration date
05/25/2011
Last updated
03/05/2024
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