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ETTINGER OPTOMETRY LLC NPI 1003263096


NPI Information

NPI: 1003263096
Provider Name: ETTINGER OPTOMETRY, LLC
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
143 REPLACEMENT AVE
BUILDING 487
FORT LEONARD WOOD, MO
ZIP 65473
Phone: (573) 329-4860
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ETTINGER OPTOMETRY, LLC is a corneal and contact management optometrist in Fort Leonard Wood, MO. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. ETTINGER OPTOMETRY, LLC NPI is 1003263096. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

143 REPLACEMENT AVE
BUILDING 487
FORT LEONARD WOOD, MO
ZIP 65473-092
Phone: (573) 329-4860
Fax: (573) 329-4860

The provider's authorized official is Ira Nathan Ettinger .
The authorized official title is Optometrist and has the following contact phone number (314) 420-7031.

The enumeration date for this NPI number is 5/19/2016 and was last updated on 6/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact ManagementT02543MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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