Organization
PEREZ BURGHART VISION, LLC
Active
Other names
Eyewearhaus
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BURGHART OD (SOLE MEMBER)
(314) 567-7423
Entity
Organization
Contact information
Practice address
745 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6715
(314) 567-7423
Mailing address
745 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6715
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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