MEDICARE: DR. JAMES J ALTENBERND 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	DO2917	MO

General Provider Information

NPI Number	:	1770535965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES J ALTENBERND O.D.

Provider Business Mailing Address
First Line	:	3549 YAEGER CROSSING CT
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63129-2369
Country	:	US
Telephone Number	:	314-487-8651
Fax Number	:

Provider Business Practice Location Address
First Line	:	4512 LEMAY FERRY RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63129-1614
Country	:	US
Telephone Number	:	314-845-6410
Fax Number	:

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	03/20/2008

Similar Medicare Providers

1316964653 — SAMS EAST INC
Practice Location Address:

4512 LEMAY FERRY RD
SAINT LOUIS, MO
63129-1614

Practice Phone: 314-894-6893
Practice Fax: 314-894-5915

1467556894 — SAM'S CLUB OPTICAL
Practice Location Address:

4512 LEMAY FERRY RD
SAINT LOUIS, MO
63129-1614

Practice Phone: 314-892-5579
Practice Fax:

1205437019 — JULIE CAPUTA RPH
Practice Location Address:

4512 LEMAY FERRY RD
SAINT LOUIS, MO
63129-1614

Practice Phone: 314-894-6893
Practice Fax: 314-894-5915

1073529111 — MR. PAUL DOUGLAS DRAKE JR. BA
Practice Location Address:

7530 CANTON AVE
SAINT LOUIS, MO
63130-1614

Practice Phone: 314-726-0464
Practice Fax: 314-382-0952

1538926050 — VENETTA BONDS
Practice Location Address:

4208 LINTON AVE
SAINT LOUIS, MO
63107-1614

Practice Phone: 314-450-0493
Practice Fax:

1497794259 — EDWARD R WILLIS JR. MD
Practice Location Address:

100 DRINKWATER RD
BAY ST LOUIS, MS
39520-1614

Practice Phone: 228-467-5121
Practice Fax:

Directions to “ DR. JAMES J ALTENBERND O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.