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NPI Profile for PELLEGRINE INC DBA PEARLE VISION in CREVE COEUR, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI Number | 1598755589 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/21/2005 | |
| Last updated | 08/22/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PELLEGRINE, INC DBA PEARLE VISION