Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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St Louis Eye Clinic

Organization Ophthalmologic Surgery Clinic/Center · NPI 1104953660

St Louis Eye Clinic is an Ophthalmologic Surgery Clinic/Center in Saint Louis, Missouri. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

12818 Tesson Ferry Rd Ste 102&104
Saint Louis, MO 63128-2613
Phone: (314) 352-9800
Fax: (314) 352-4290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmologic Surgery Clinic/Center (primary) Taxonomy 261QS0132X

Record details

NPI number1104953660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Kutz — Billing & Credential Manager · (314) 352-9800
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address12818 Tesson Ferry Rd Ste 102&104, Saint Louis, MO 63128-2613

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