Jacques Optometry LLC

NPI #1386217586 in Wildwood, Missouri

Provider Information

NPI Number: 1386217586
Entity Type: Organization
Organization Name: Jacques Optometry LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 23, 2021
Last Updated: Jul 24, 2021

Practice Location

Address: 16972 MANCHESTER RD
City: Wildwood
State: Missouri
ZIP Code: 63040-1200
Phone: (636) 477-5187

Authorized Official

Name: PETER D JACQUES, OD
Title: MANAGING MEMBER
Phone: (636) 706-9896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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