OrganizationActive
St. Louis Eye Clinic
NPI 1104953660 · Ophthalmologic Surgery Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1104953660
- Entity type
- Organization
- Primary specialty
- Ophthalmologic Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elizabeth Kutz, Billing & Credential Manager(314) 352-9800
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12818 Tesson Ferry Rd Ste 102&104
Saint Louis, MO 63128-2613
Phone: (314) 352-9800
Fax: (314) 352-4290
Approximate (ZIP-level) locationGet directions
Mailing address
12818 Tesson Ferry Rd Ste 102&104
Saint Louis, MO 63128-2613
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.