OLDE TYME OPTICAL, Optician EAST SAINT LOUIS, IL

Contact Information

OLDE TYME OPTICAL

100 N. 8TH ST E.
SUITE 264
EAST SAINT LOUIS, IL 62201

Phone: 618-274-2020
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for OLDE TYME OPTICAL · (Female)

NPI #	`1659759918`
Status	Active
Credentials
Entity	Individual
Enumeration date	05/07/2015
Last updated	05/07/2015 - About 11 years ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
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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OLDE TYME OPTICALOptician

Contact Information

Specialty

Optician

NPI Profile & details for OLDE TYME OPTICAL · (Female)

Reviews for OLDE TYME OPTICAL

OLDE TYME OPTICAL
Optician