Lasik-1 of St. Louis, LLC

NPI #1184881203 in Creve Coeur, Missouri

Provider Information

NPI Number: 1184881203
Entity Type: Organization
Organization Name: Lasik-1 of St. Louis, LLC
Primary Specialty: Ophthalmology
Enumeration Date: May 16, 2008
Last Updated: May 16, 2008

Practice Location

Address: 612 N NEW BALLAS RD
City: Creve Coeur
State: Missouri
ZIP Code: 63141-6714
Phone: (314) 432-7393

Authorized Official

Name: MR. STEPHEN B WILES, M.D.
Title: CEO/OWNER
Phone: (816) 455-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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