Pec South County Llc

LBN: Pec South County Llc
Pec South County Llc is an health care organization with primary practice located at 4412 Telegraph Rd , Saint Louis MO 63129-3316. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty. Pec South County Llc can be contacted via phone (618) 234-3053, or through Massie, Dirk via phone (618) 234-3053.

Contact Information

Primary practice address
4412 Telegraph Rd Saint Louis MO 63129-3316
Phone: (618) 234-3053
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Massie, Dirk Doctor of Optometry (OD)
Phone: (618) 234-3053

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X

Profile Details

NPI number 1295371946
LBN Legal business name Pec South County Llc
DBA Doing business as
Authorized official Massie, Dirk Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2019
Last updated Nov 18th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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