MEDICARE: DR. KATHERINE GETTINGER O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2015020224	MO

General Provider Information

NPI Number	:	1699157735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE GETTINGER O.D.

Provider Business Mailing Address
First Line	:	4137 HARTFORD ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-3924
Country	:	US
Telephone Number	:	309-255-2421
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 MARYLAND PLZ
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1526
Country	:	US
Telephone Number	:	314-361-9900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2015
Last Update Date	:	01/24/2020

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Directions to “ DR. KATHERINE GETTINGER O.D.” Practice Location

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