Individual
OLTA CUCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1900 TELEGRAPH RD, SAINT LOUIS, MO 63125-2515
(314) 582-1757
(314) 582-1965
Mailing address
1900 TELEGRAPH RD, SAINT LOUIS, MO 63125-2515
(314) 582-1757
(314) 582-1965
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2010028087
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639484405
—
MO
01
—
991722006
MEDICARE PART B PTAN
MO
Enumeration date
08/17/2010
Last updated
09/02/2025
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