Individual
DR. BRIAN D. LOPATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4145 LINDELL BLVD, SAINT LOUIS, MO 63108-2913
(314) 533-1898
(800) 432-6004
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(314) 533-1898
(800) 432-6004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03191
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115889
BLUE CROSS BLUE SHIELD MO
—
01
—
21176
HEALTHCARE
—
01
—
22-00106
UNITED HEALTHCARE
—
01
—
23056
OPTICARE MED. COMPLETE
—
05
—
315083105
—
MO
01
—
410048354
RR MEDICARE
IL
01
—
674835
HEALTHLINK
—
01
—
MO3191
EYEMED
—
01
—
P00403024
RR MEDICARE
MO
01
—
PENDING
GROUP HEALTH PLAN
—
01
—
U89401
MERCY HEALTH PLANS
—
01
—
UNKNOWN
DAVIS VISION
—
Enumeration date
03/17/2006
Last updated
12/19/2012
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