Healthcare Provider Details

I. General information

NPI: 1558004515
Provider Name (Legal Business Name): EYE ASSOCIATES PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2022
Last Update Date: 04/18/2022
Certification Date: 04/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S CENTRAL AVE
EUREKA MO
63025-2002
US

IV. Provider business mailing address

200 S KIRKWOOD RD STE 100
KIRKWOOD MO
63122-4335
US

V. Phone/Fax

Practice location:
  • Phone: 636-938-9092
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: ANDREW BIONDO
Title or Position: MANAGER
Credential:
Phone: 314-605-7966