Organization
CHABOT COMMUNITY EYE CARE PC
Active
Other names
Mobile Eye Care Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CHABOT (ADMINISTRATOR)
(314) 522-8773
Entity
Organization
Contact information
Practice address
248 S FLORISSANT RD, FERGUSON, MO 63135-2736
(314) 522-8773
Mailing address
248 S FLORISSANT RD, FERGUSON, MO 63135-2736
(314) 522-8773
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509295507
—
MO
Enumeration date
03/05/2007
Last updated
07/09/2009
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