Healthcare Provider Details

I. General information

NPI: 1780865220
Provider Name (Legal Business Name): OPHTHALMOLOGY CONSULTANTS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2007
Last Update Date: 10/26/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7331 WATSON RD
SAINT LOUIS MO
63119-4405
US

IV. Provider business mailing address

12990 MANCHESTER RD 201
DES PERES MO
63131-1804
US

V. Phone/Fax

Practice location:
  • Phone: 314-633-8575
  • Fax: 314-909-0391
Mailing address:
  • Phone: 314-909-0633
  • Fax: 314-909-0391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH P. GIRA
Title or Position: OWNER/PARTNER
Credential: M.D.
Phone: 314-909-0633