Individual
DR. CONNIE M. POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5694 TELEGRAPH RD, SAINT LOUIS, MO 63129-4243
(314) 846-4222
(800) 432-6004
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2246
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108710
BLUE CROSS BLUE SHIELD MO
—
01
—
110977
EYEMED
—
01
—
12453
OPTICARE MEDICARE COMPLET
—
01
—
22-00135
UNITED HEALTHCARE
—
05
—
310754627
—
MO
01
—
340370
HEALTHLINK
—
01
—
410048091
RR MEDICARE
IL
01
—
4197
HEALTHCARE USA
MO
01
—
5217
DAVIS VISION
—
01
—
P00305305
RR MEDICARE
MO
01
—
T92390
MERCY HEALTH PLAN
—
Enumeration date
03/07/2006
Last updated
12/19/2012
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