Organization
ESSENTIAL EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK WASSERMAN OD (PHYSICIAN/OWNER)
(314) 494-1125
Entity
Organization
Contact information
Practice address
7256 PERSHING AVE UNIT B, SAINT LOUIS, MO 63130-4248
(314) 494-1125
(314) 863-7586
Mailing address
7256 PERSHING AVE UNIT B, SAINT LOUIS, MO 63130-4248
(314) 494-1125
(314) 863-7586
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310753744
—
MO
Enumeration date
04/22/2019
Last updated
04/22/2019
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