Dr. Janet L Collier, O.D.
Optometrist in Kirkwood, MO. Individual provider (NPI-1).
NPI number1982606695
StatusActive
Last updated in NPPESNov 22, 2017
Details
- NPI
- 1982606695
- Entity type
- Individual (NPI-1)
- Name
- Dr. Janet L Collier
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2005
- Last updated
- Nov 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | T03317 | MO | Yes |
Other names
- Janet L Provencal (Former Name)
Practice location
730 S Kirkwood RdKirkwood, MO 63122-5929
Phone 314-821-2626
Mailing address
15933 Clayton RdSte 201
Ballwin, MO 63011-2172
Phone 636-200-4393 · Fax 636-938-2650
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