Organization
CHERRY HILLS FAMILY EYE CARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PAUL PRANGE O.D. (OWNER)
(636) 273-6336
Entity
Organization
Contact information
Practice address
16508 MANCHESTER RD, WILDWOOD, MO 63040-1217
(636) 273-6336
(636) 273-9172
Mailing address
16508 MANCHESTER RD, WILDWOOD, MO 63040-1217
(636) 273-6336
(636) 273-9172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3447
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318816204
—
MO
Enumeration date
06/01/2006
Last updated
06/04/2020
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