Individual
DR. AIMEE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
390 MID RIVERS MALL DR, SAINT PETERS, MO 63376-1565
(636) 279-2020
(636) 279-1055
Mailing address
15933 CLAYTON RD, BALLWIN, MO 63011-2172
(636) 200-4393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1894
SC
152W00000X
Optometrist
Primary
2024031685
MO
152W00000X
Optometrist
3430
TN
152WC0802X
Corneal and Contact Management Optometrist
3430
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310150050
—
MO
Enumeration date
08/12/2015
Last updated
03/03/2025
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