Organization
FENTON FAMILY EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VITO VRICELLA O.D. (OPTOMETRIST)
(314) 406-7014
Entity
Organization
Contact information
Practice address
1391 SMIZER MILL RD, SUITE 102, FENTON, MO 63026-7306
(636) 305-9600
Mailing address
1391 SMIZER MILL RD, SUITE 102, FENTON, MO 63026-7306
(636) 305-9600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2010020480
MO
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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