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Contact Information

ERIC JERDE, OD
10275 WATSON RD
SAINT LOUIS, MO63127
 Phone: 314-962-9334
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ERIC JERDE · (Male)

NPI # 1609121839
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/13/2012
Last updated 07/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2012018551
  • AR Medicaid 193954722
  • MO Medicaid 1609121839
  • MO Other P01235247 RR MCR
  • MO Other 431560263 TRICARE
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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