Individual
DR. JESSI WIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2025018913
MO
Other
Enumeration date
05/20/2025
Last updated
05/28/2025
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