IndividualActive
Andrew Polk, MD
NPI 1528697448 · Ophthalmology Physician · Fenton, MO
Provider details
- NPI number
- 1528697448
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2024032606 (MO)
Practice location
1011 Bowles Ave Ste 200
Fenton, MO 63026-2384
Phone: (636) 717-1700
Fax: (636) 203-4727
Mailing address
1011 Bowles Ave Ste 200
Fenton, MO 63026-2384
Registry dates
- Enumerated
- 2020-04-02
- Last updated
- 2024-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.