Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLDE TYME OPTICAL
Active OrganizationOLDE TYME OPTICAL is a Optician, Dispensing organization located in E. ST. LOUIS, Illinois. NPI 1659759918 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · E. ST. LOUIS, IL
Registration Details
- NPI Number
- 1659759918
- Provider Type
- Organization
- NPI Issued
- May 7, 2015 (11.301673605827 yrs)
- Last Updated
- May 7, 2015
Practice Information
- Address
-
100 N. 8TH ST E.SUITE 264E. ST. LOUIS, IL, 62201Browse IL providers · Browse ZIP 62201
- Phone
- 6182742020
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.