Organization
EYECARE MANAGEMENT LLC
Active
Other names
Quantum Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA L CUMMINS (BILLING DEPARTMENT MGR)
(618) 277-1130
Entity
Organization
Contact information
Practice address
12818 TESSON FERRY RD, SUITE 201, SAINT LOUIS, MO 63128-2945
(314) 843-4044
(314) 843-2941
Mailing address
111 W LINCOLN ST, BELLEVILLE, IL 62220-2019
(618) 277-1130
(618) 937-8403
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202559308
—
MO
05
—
317834034
—
MO
Enumeration date
03/08/2007
Last updated
05/21/2015
Update your record
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