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General NPI Number Information
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NPI Number | 1659799575
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Entity Type | Organization
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Legal Business Name | OPHTHALMOLOGY CONSULTANTS, LLC
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Dates
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Enumeration Date | 03/29/2014
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1066 EXECUTIVE PARKWAY DR STE 200
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City | SAINT LOUIS
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State | MO
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Zip | 63141-6340
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Country | US
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Telephone | 314-394-3201
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 736480
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City | CHICAGO
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State | IL
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Zip | 60673-1407
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Country | US
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Telephone | 314-909-0633
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JOSEPH P GIRA
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Credential | M.D.
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Telephone | 314-909-0633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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