Organization
RETINA CONSULTANTS, LLC
Active
Other names
The Retina Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY DEISS (CREDENTIALING SPECIALIST)
(314) 367-1181
Entity
Organization
Contact information
Practice address
1600 S BRENTWOOD BLVD STE 700, BRENTWOOD, MO 63144-1304
(314) 367-1181
(314) 968-5117
Mailing address
8820 LADUE RD STE 203, SAINT LOUIS, MO 63124-2080
(314) 367-1181
(314) 968-5117
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
04/04/2011
Last updated
10/06/2025
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