Healthcare Provider Details

I. General information

NPI: 1114632650
Provider Name (Legal Business Name): MONICA PAPINSKI OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2023
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7840 NATURAL BRIDGE RD
SAINT LOUIS MO
63121-4617
US

IV. Provider business mailing address

7840 NATURAL BRIDGE RD
SAINT LOUIS MO
63121-4617
US

V. Phone/Fax

Practice location:
  • Phone: 314-516-5131
  • Fax: 314-516-6405
Mailing address:
  • Phone: 314-516-5131
  • Fax: 314-516-6405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2022024645
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: