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NPI Code Detail

MEDICARE: ST LOUIS SOCIETY FOR THE BLIND

MEDICARE: ST LOUIS SOCIETY FOR THE BLIND
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
1152WL0500XLow Vision Rehabilitation Optometrist

General Provider Information

NPI Number : 1942661186
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST LOUIS SOCIETY FOR THE BLIND
Provider Business Mailing Address
First Line : 8770 MANCHESTER RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63144-2724
Country : US
Telephone Number : 314-968-9000
Fax Number : 314-968-9003
Provider Business Practice Location Address
First Line : 8770 MANCHESTER RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63144-2724
Country : US
Telephone Number : 314-968-9000
Fax Number : 314-968-9003
Authorized Official
Title or Position : PRESIDENT
Name : MR. DAVID C EKIN
Credential : ACSW
Telephone Number : 314-968-9000
Provider Enumeration Date : 03/16/2016
Last Update Date : 03/16/2016

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1942381199 — DR. MICHAEL A. HOWARD DO
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1194849950 — MARY B MILLER FNP
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1508981820 — BARBARA J KING FNP, BC, CNP
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1952520306 — SUSAN SINGER MD
Practice Location Address:
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Directions to “ST LOUIS SOCIETY FOR THE BLIND ” Practice Location

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