Organization
GATEWAY OPTICAL SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE M FEDORONKO (OWNER)
(314) 968-1905
Entity
Organization
Contact information
Practice address
18 KIRKHAM INDUSTRIAL DR, SAINT LOUIS, MO 63119-1754
(314) 968-1905
(314) 968-0895
Mailing address
18 KIRKHAM INDUSTRIAL DR, SAINT LOUIS, MO 63119-1754
(314) 968-1905
(314) 968-0895
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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