Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIEL P. ETHAKOTI, OD
ActiveDANIEL P. ETHAKOTI, OD is a Optometrist healthcare provider located in SAINT LOUIS, Missouri. NPI 1740662964 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1740662964
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2015 (11.137953579068 yrs)
- Last Updated
- Jun 24, 2015
- License
-
2015020209 (MO)
Practice Information
- Address
-
3732 S KINGSHIGHWAY BLVDSAINT LOUIS, MO, 631091800Browse MO providers · Browse ZIP 63109
- Phone
- 3144461134
- Fax
- 3144461136
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. RAYMOND I MYERS | O.D. | 1356344840 |
| THEODORE K. SULLIVAN | O.D. | 1437153772 |
| DR. MARY C BLATT | OD | 1437154499 |
| DR. HENRY W ALLHOFF | O.D. | 1942206107 |
| DR. AMBER KARPEL | O.D. | 1033115019 |
| DR. MICHAEL ROHDE | O.D. | 1023014024 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.