Organization
EYE FASHION FACTORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ANTHONY DOBYNES SR. (OPTICIAN)
(314) 389-2425
Entity
Organization
Contact information
Practice address
5800 NATURAL BRIDGE, STLOUIS, MO 63120
(314) 389-2425
(314) 389-7654
Mailing address
5800 NATURAL BRIDGE, STLOUIS, MO 63120
(314) 389-2425
(314) 389-7654
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104451
EYE MED
MO
01
—
22468
HEALTHCARE USA
MO
Enumeration date
03/19/2007
Last updated
08/22/2020
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