Healthcare Provider Details

I. General information

NPI: 1104738954
Provider Name (Legal Business Name): BERNIER EYE CENTRE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9912 GRANDVIEW HILL CT
SAINT LOUIS MO
63127-0019
US

IV. Provider business mailing address

9912 GRANDVIEW HILL CT
SAINT LOUIS MO
63127-0019
US

V. Phone/Fax

Practice location:
  • Phone: 314-724-1476
  • Fax:
Mailing address:
  • Phone: 314-724-1476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. PAUL MICHAEL BERNIER
Title or Position: CEO
Credential: OD
Phone: 314-724-1476