NPI 1053751537

Jacqueline G Ladd, OD

Practitioner Optometrist O Fallon, MO

Practice location

Address: 302 E Pitman St, O Fallon, MO 63366-2623
Phone: (636) 272-1444

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2013020891 (MO)

Other Optometrist providers in Missouri →

Registry record

NPI: 1053751537
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jun 2013
Record last updated: 16 Jul 2013

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.