St. Louis Eye Clinic
NPI #1629105259 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1629105259
- Entity Type
- Organization
- Organization Name
- St. Louis Eye Clinic
- Primary Specialty
- Ophthalmology - Glaucoma Specialist
- Enumeration Date
- Feb 28, 2007
- Last Updated
- Jun 10, 2025
Practice Location
- Address
- 12818 TESSON FERRY RD STE 102&104
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63128-2613
- Phone
- (314) 352-9800
Authorized Official
- Name
- ELIZABETH DEBORAH KUTZ
- Title
- CREDENTIALING & BILLING SPECIALIST
- Phone
- (314) 352-9800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology - Glaucoma Specialist — Glaucoma Specialist |
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