Red Eye LLC
Exclusive Provider Organization in Saint Louis, MO. Organization (NPI-2).
NPI number1821493545
StatusActive
Last updated in NPPESOct 23, 2014
Details
- NPI
- 1821493545
- Entity type
- Organization (NPI-2)
- Legal business name
- Red Eye LLC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2014
- Last updated
- Oct 23, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | – | – | Yes |
Other names
- Erker'S Eyecare (Doing Business As)
Practice location
9717 Clayton RdSaint Louis, MO 63124-1503
Phone 314-997-0002 · Fax 314-997-7723
Mailing address
9717 Clayton RdSaint Louis, MO 63124-1503
Phone 314-997-0002 · Fax 314-997-7723
Authorized official
Tony Erker
Business Owner
3149970002
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