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NPI Code Detail

MEDICARE: PIKUL OPTOMETRY, P.C.

MEDICARE: PIKUL OPTOMETRY, P.C.
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
1152W00000XOptometrist2009017816MO

General Provider Information

NPI Number : 1932414323
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIKUL OPTOMETRY, P.C.
Provider Business Mailing Address
First Line : 103 BOGEY BLVD
Second Line :
City : ARNOLD
State : MO
Zip : 63010-6026
Country : US
Telephone Number : 314-578-2578
Fax Number :
Provider Business Practice Location Address
First Line : 2201 MICHIGAN AVE
Second Line :
City : ARNOLD
State : MO
Zip : 63010-2151
Country : US
Telephone Number : 636-287-6322
Fax Number : 636-287-6321
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. JEFFREY THOMAS PIKUL
Credential : O.D.
Telephone Number : 314-578-2578
Provider Enumeration Date : 08/10/2010
Last Update Date : 08/10/2010

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Directions to “PIKUL OPTOMETRY, P.C. ” Practice Location

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