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Contact Information

JILL MOGIL, OD
2821 N BALLAS RD STE C11
SAINT LOUIS, MO63131-2313
 Phone: 833-376-6445
 Fax: 314-312-6984
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JILL MOGIL · (Female)

NPI # 1285953844
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/21/2010
Last updated 07/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 046007879
  • MO License # T02571
  • MO License # TO2571
  • Other 0009359551 AETNA
  • Other 1285953844 PROVIDER NPI NUMBER
  • MO Other 991722003 MEDICARE PART B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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