Fenton Eye Care

NPI #1396075875 in Fenton, Missouri

Provider Information

NPI Number: 1396075875
Entity Type: Organization
Organization Name: Fenton Eye Care
Primary Specialty: Optometrist
Enumeration Date: Jan 6, 2010
Last Updated: Mar 8, 2010

Practice Location

Address: 622 GRAVOIS RD
City: Fenton
State: Missouri
ZIP Code: 63026-4137
Phone: (636) 343-6664

Authorized Official

Name: MRS. CONNIE REDING
Title: MANAGER
Phone: (636) 343-6664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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