Organization
O'DONNELL EYE INSTITUTE, INC.
Active
Organization
O'DONNELL EYE INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH L SWALLOW (PRESIDENT - CEO)
(314) 821-4252
Entity
Organization
Contact information
Practice address
1034 S KIRKWOOD RD, KIRKWOOD, MO 63122-7200
(314) 821-4252
(314) 821-4080
Mailing address
1034 S KIRKWOOD RD, KIRKWOOD, MO 63122-7200
(314) 821-4252
(314) 821-4080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T03150
MO
174400000X
Specialist
Primary
103873
MO
174400000X
Specialist
R9A10
MO
174400000X
Specialist
R9F62
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10165C
ANTHEM BCBS HEALTH PLAN
MO
01
—
34824
GROUP HEALTH PLAN
MO
01
—
35724
CMR GROUP HEALTH PLAN
MO
05
—
502893704
—
MO
Enumeration date
03/26/2007
Last updated
09/17/2009
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