Fenton Family Eyecare, LLC

NPI #1740602762 in Fenton, Missouri

Provider Information

NPI Number: 1740602762
Entity Type: Organization
Organization Name: Fenton Family Eyecare, LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 9, 2014
Last Updated: Jan 9, 2014

Practice Location

Address: 1391 SMIZER MILL RD
Address 2: SUITE 102
City: Fenton
State: Missouri
ZIP Code: 63026-7306
Phone: (636) 305-9600

Authorized Official

Name: DR. VITO VRICELLA, O.D.
Title: OPTOMETRIST
Phone: (314) 406-7014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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