Montclaire Eye Associates

NPI #1902127459 in Edwardsville, Illinois

Provider Information

NPI Number: 1902127459
Entity Type: Organization
Organization Name: Montclaire Eye Associates
Primary Specialty: Optometrist
Enumeration Date: Jun 18, 2010
Last Updated: Jun 18, 2010

Practice Location

Address: 1514 TROY RD STE C
City: Edwardsville
State: Illinois
ZIP Code: 62025-2597
Phone: (618) 656-4658

Authorized Official

Name: FREDERICK W SCHWAGER, O.D.
Title: OPTOMETRIST/OWNER
Phone: (618) 656-4658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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