St Peters Vision Center INC

NPI #1164693677 in Saint Peters, Missouri

Provider Information

NPI Number: 1164693677
Entity Type: Organization
Organization Name: St Peters Vision Center INC
Primary Specialty: Optometrist
Enumeration Date: Mar 13, 2008
Last Updated: Mar 13, 2008

Practice Location

Address: 6664 MEXICO RD
City: Saint Peters
State: Missouri
ZIP Code: 63376-4131
Phone: (636) 970-2929

Authorized Official

Name: DR. JAMES LELAND JACOB, O.D.
Title: PRESIDENT
Phone: (636) 970-2929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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