| Curators Of The University Of Missouri | |
|
601 James R. Thompson Blvd, Building D, Ste 2030, East St. Louis, IL 62201-1129 | |
| (618) 482-8355 | |
| (618) 482-8360 |
| Full Name | Curators Of The University Of Missouri |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 601 James R. Thompson Blvd, East St. Louis, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417049610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Illinois) | Primary |
| Provider Name | Angel N Simmons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841473063 PECOS PAC ID: 2365465994 Enrollment ID: I20071221000273 |
| Provider Name | Sarah S Dohrman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477815744 PECOS PAC ID: 8628224375 Enrollment ID: I20120810000762 |
| Provider Name | Mary B Rhomberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144210519 PECOS PAC ID: 4981668217 Enrollment ID: I20130515000438 |
| Provider Name | Linda Nguyen Du |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205210960 PECOS PAC ID: 0244543411 Enrollment ID: I20160105001872 |
| Provider Name | Nathan J Kirby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558719054 PECOS PAC ID: 3678863776 Enrollment ID: I20160601002869 |
| Provider Name | Casey M Peterson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033585161 PECOS PAC ID: 3870802242 Enrollment ID: I20160830000740 |
| Provider Name | Coral Dawn Dundon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447774047 PECOS PAC ID: 9931455367 Enrollment ID: I20180921000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Curators Of The University Of Missouri 1 University Blvd, Patient Care Center, Saint Louis, MO 63121-4400 Ph: (314) 516-5131 | Curators Of The University Of Missouri 601 James R. Thompson Blvd, Building D, Ste 2030, East St. Louis, IL 62201-1129 Ph: (618) 482-8355 |