Organization
JERMIK SYSTEMS, LTD
Active
Other names
Kursar Eyecare, Ltd.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD H KURSAR D.O. (OWNER)
(314) 822-3776
Entity
Organization
Contact information
Practice address
2315 DOUGHERTY FERRY RD STE 101, SAINT LOUIS, MO 63122-3313
(314) 822-3776
(314) 822-6281
Mailing address
2315 DOUGHERTY FERRY RD STE 101, SAINT LOUIS, MO 63122-3313
(314) 822-3776
(314) 822-6281
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2005020537
MO
207W00000X
Ophthalmology Physician
Primary
30117
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23976
BCBS
MO
05
—
240438606
—
MO
01
—
CJ9636
MEDICARE RAILROAD
MO
Enumeration date
05/31/2006
Last updated
01/27/2011
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