Ofallon Optometric Clinic

NPI #1457487837 in O Fallon, Missouri

Provider Information

NPI Number: 1457487837
Entity Type: Organization
Organization Name: Ofallon Optometric Clinic
Primary Specialty: Optometrist
Enumeration Date: Feb 27, 2007
Last Updated: Apr 23, 2014

Practice Location

Address: 409 S MAIN ST
City: O Fallon
State: Missouri
ZIP Code: 63366-2532
Phone: (636) 272-3383

Authorized Official

Name: MR. MARTIN M SHULMAN, O.D.
Title: OPTOMETRIST
Phone: (636) 272-3383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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