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General NPI Number Information
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NPI Number | 1508041088
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Entity Type | Organization
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Legal Business Name | CATARACT & GLAUCOMA EYE CENTER OF ST. LOUIS, LTD.
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 7220 WATSON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63119-4404
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Country | US
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Telephone | 314-352-5500
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Fax | 314-352-5500
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Provider Business Mailing Address
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Address Line | 7220 WATSON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63119-4404
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Country | US
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Telephone | 314-352-5500
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Fax | 314-352-5500
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Authorized Official
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Title or Position | OWNER
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Name | DR. STANLEY CLIFFORD BECKER
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Credential | M.D.
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Telephone | 314-352-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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