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Organization

ST. LOUIS EYE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH DEBORAH KUTZ (CREDENTIALING & BILLING SPECIALIST)
(314) 352-9800
Entity
Organization

Contact information

Practice address
12818 TESSON FERRY RD STE 102&104, SAINT LOUIS, MO 63128-2613
(314) 352-9800
(314) 352-4290
Mailing address
12818 TESSON FERRY RD STE 102&104, SAINT LOUIS, MO 63128-2613
(314) 352-9800
(314) 352-4290

Taxonomy

Speciality
Code
Description
License number
State
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary

Other

Enumeration date
02/28/2007
Last updated
06/10/2025
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