Organization
SUREVISION EYE CENTERS MIDWEST LLC
Active
Other names
SureVision Eye Centers
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY LYNN MIANA COE (COO)
(314) 726-5669
Entity
Organization
Contact information
Practice address
12101 WOODCREST EXECUTIVE DR STE 150, CREVE COEUR, MO 63141-5050
(314) 921-2020
(314) 863-9977
Mailing address
320 BROOKES DR, SUITE 111, HAZELWOOD, MO 63042-2736
(314) 726-5669
(314) 726-5109
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
09/18/2023
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