NPI 1457377848

Overland Optical, INC.

Organisation Optician Saint Louis, MO

Practice location

Address: 2533 Woodson Rd, Saint Louis, MO 63114-5436
Phone: (314) 423-3874
Fax: (888) 423-0074

Authorised official

Name: Russell Gene Dentsbier
Title: Owner/President - Optician
Phone: (314) 423-3874

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 036582 (MO)

Other Technician/Technologist providers in Missouri →

Registry record

NPI: 1457377848
Entity type: Organization
NPI issued: 15 Jul 2006
Record last updated: 13 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.