NPI 1215122304

Mary Melita Crum, OPTICIAN

Practitioner Optician Florissant, MO

Practice location

Address: 11266 W Florissant Ave, Florissant, MO 63033-6741
Phone: (314) 838-3539
Fax: (314) 838-0633

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence B0057567A (MO)

Other Technician/Technologist providers in Missouri →

Registry record

NPI: 1215122304
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Sep 2007
Record last updated: 23 May 2008

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.