St. Louis Eye Clinic
Ophthalmology, Glaucoma Specialist in Saint Louis, MO. Organization (NPI-2).
NPI number1255468898
StatusActive
Last updated in NPPESJun 2, 2025
Details
- NPI
- 1255468898
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Louis Eye Clinic
- Organization subpart
- No
- Enumeration date
- Feb 28, 2007
- Certification date
- Jun 2, 2025
- Last updated
- Jun 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207WX0009X | Ophthalmology, Glaucoma Specialist | – | – | Yes |
Practice location
12818 Tesson Ferry Rd Ste 102&104Saint Louis, MO 63128-2613
Phone 314-352-9800 · Fax 314-352-4290
Mailing address
12818 Tesson Ferry Rd Ste 102&104Saint Louis, MO 63128-2613
Phone 314-352-9800 · Fax 314-352-4290
Authorized official
Sanjeev Lele
President
3143529800
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