Healthcare Provider Details

I. General information

NPI: 1083643753
Provider Name (Legal Business Name): DARCI LEA HUNTER PREWITT O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARCI LEA HUNTER O.D.

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102A W COUNTY CTR
DES PERES MO
63131-3725
US

IV. Provider business mailing address

123A S.COUNTY CENTER WAY
ST. LOUIS MO
63129
US

V. Phone/Fax

Practice location:
  • Phone: 314-966-6593
  • Fax: 314-984-0224
Mailing address:
  • Phone: 314-416-7588
  • Fax: 314-416-9368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number046-009909
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberT03265
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: