Organization
INNOVATIVE EYE CARE SPECIALISTS, LLC
Active
Other names
Jerde Eye Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JERDE OD (OWNER)
(314) 962-9334
Entity
Organization
Contact information
Practice address
10275 WATSON RD, SAINT LOUIS, MO 63127
(816) 517-3599
Mailing address
10275 WATSON RD, SAINT LOUIS, MO 63127-1103
(314) 962-9334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2012018551
MO
Other
Enumeration date
02/07/2018
Last updated
07/23/2018
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