Individual
DR. LEON ROMAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4575 GRAVOIS RD, HOUSE SPRINGS, MO 63051-1374
(636) 671-7272
(636) 671-1196
Mailing address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
(636) 938-2650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2001010419
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315983403
—
MO
01
—
P0015683
RAILROAD MEDICARE
MO
Enumeration date
06/23/2005
Last updated
11/18/2014
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