Healthcare Provider Details

I. General information

NPI: 1306378450
Provider Name (Legal Business Name): SENIJA TURAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2017
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9973 MANCHESTER RD
SAINT LOUIS MO
63122-1915
US

IV. Provider business mailing address

9973 MANCHESTER RD
SAINT LOUIS MO
63122-1915
US

V. Phone/Fax

Practice location:
  • Phone: 314-961-3151
  • Fax:
Mailing address:
  • Phone: 314-961-3151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2019009618
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number046011114
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: