Organization
PEC ST PETERS LLC
Active
Other names
Performance Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIRK MASSIE OD (OWNER)
(618) 234-3053
Entity
Organization
Contact information
Practice address
6764 MEXICO RD, SAINT PETERS, MO 63376-1505
(618) 234-3053
Mailing address
4111 N ILLINOIS ST, SWANSEA, IL 62226-7609
(618) 234-3053
(618) 234-6331
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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