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NPI Code Detail

MEDICARE: CURATORS OF THE UNIVERSITY OF MISSOURI

MEDICARE: CURATORS OF THE UNIVERSITY OF MISSOURI
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
1152W00000XOptometristMO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922190198
Entity Type Code : Organization
Provider Name (Legal Business Name) : CURATORS OF THE UNIVERSITY OF MISSOURI
Provider Business Mailing Address
First Line : 1 UNIVERSITY BLVD
Second Line : PATIENT CARE CENTER
City : SAINT LOUIS
State : MO
Zip : 63121-4400
Country : US
Telephone Number : 314-516-5131
Fax Number : 314-516-5507
Provider Business Practice Location Address
First Line : 3940 LINDELL BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-3204
Country : US
Telephone Number : 314-516-5016
Fax Number : 314-535-4741
Authorized Official
Title or Position : DIRECTOR OF CLINICAL OPERATIONS
Name : DR. VINITA A HENRY
Credential : OD
Telephone Number : 314-516-6532
Provider Enumeration Date : 09/28/2006
Last Update Date : 06/10/2020

Similar Medicare Providers

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1861746026 — EFTHEMIA DAVELIS PHARMD
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Practice Fax:
1720321490 — DR. JEANA D RING PHARM.D.
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1831691435 — LISA SANDERS
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Directions to “CURATORS OF THE UNIVERSITY OF MISSOURI ” Practice Location

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