Healthcare Provider Details

I. General information

NPI: 1245015973
Provider Name (Legal Business Name): HAVEN LOUISE FRANZ OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HAVEN LOUISE RICHARDSON OD

II. Dates (important events)

Enumeration Date: 08/30/2023
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3122 S GRAND BLVD
SAINT LOUIS MO
63118-1012
US

IV. Provider business mailing address

15933 CLAYTON RD STE 210
BALLWIN MO
63011-2172
US

V. Phone/Fax

Practice location:
  • Phone: 614-450-7313
  • Fax: 314-450-7314
Mailing address:
  • Phone: 636-200-4393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1087
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3842
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC6806
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2024015892
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: