Vep Il Optometric LLC
Optometrist in O Fallon, IL. Organization (NPI-2).
NPI number1831752575
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1831752575
- Entity type
- Organization (NPI-2)
- Legal business name
- Vep Il Optometric LLC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2019
- Certification date
- Jul 29, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
1222 Central Park DrO Fallon, IL 62269-1756
Phone 618-628-7800
Mailing address
Po Box 800148Kansas City, MO 64180-0148
Authorized official
Eric Birky
President
3096632700
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All 15 Optometrist providers in O Fallon · All 1,289 providers in O Fallon
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