Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician | |
Contact Lens |
156FC0800X | |||
Eyewear Supplier |
332H00000X | 87 | All Other Suppliers |
| NPI # | 1487869863 |
| LBN Legal business name | ST LOUIS UNIVERSITY |
| Authorized official | WILLIAM KAUFFMAN - (VP, GENERAL COUNSEL & SECRETARY) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/11/2007 |
| Last updated | 09/21/2021 - About 5 years ago |
| Identifiers | n/a |
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ST LOUIS UNIVERSITY
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