Provider Demographics
NPI:1598945586
Name:CATARACT & EYE DISEASE SPECIALISTS, INC
Entity type:Organization
Organization Name:CATARACT & EYE DISEASE SPECIALISTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:E
Authorized Official - Last Name:THEMELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-441-7900
Mailing Address - Street 1:9 POINT WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-4431
Mailing Address - Country:US
Mailing Address - Phone:636-441-7900
Mailing Address - Fax:
Practice Address - Street 1:107B N LINCOLN DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MO
Practice Address - Zip Code:63379-1315
Practice Address - Country:US
Practice Address - Phone:636-441-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty