Wildwood Vision Specialists LLC

NPI #1174806301 in Wildwood, Missouri

Provider Information

NPI Number: 1174806301
Entity Type: Organization
Organization Name: Wildwood Vision Specialists LLC
Primary Specialty: Optometrist
Enumeration Date: Sep 23, 2011
Last Updated: Jun 24, 2013

Practice Location

Address: 2751 FOUNTAIN PL
Address 2: SUITE 2
City: Wildwood
State: Missouri
ZIP Code: 63040-1202
Phone: (314) 583-1548

Authorized Official

Name: DR. CHRISTINE MARIE HAYES, O.D.
Title: MANAGING OPTOMETRIST
Phone: (314) 583-1548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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