Healthcare Provider Details

I. General information

NPI: 1306985684
Provider Name (Legal Business Name): RESLER-KERBER OPTOMETRY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 SAINT FRANCOIS ST
FLORISSANT MO
63031-4923
US

IV. Provider business mailing address

875 SAINT FRANCOIS ST
FLORISSANT MO
63031-4923
US

V. Phone/Fax

Practice location:
  • Phone: 314-839-2400
  • Fax:
Mailing address:
  • Phone: 314-839-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberT03049
License Number StateMO

VIII. Authorized Official

Name: DR. DEBORAH LYNN KERBER
Title or Position: OWNER
Credential:
Phone: 314-839-2400