Organization

Four Circles Vision Therapy

Clinic/Center in O Fallon, MO(View on Map)

Legal Business Name

Four Circles Vision Therapy

NPI Number

1992442214

NPI Type

Organization

Enumeration Date

05/18/2022

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3449 PHEASANT MEADOW DR STE 100
3449 PHEASANT MEADOW DR STE 100

City

O Fallon
O Fallon

State

MO
MO

Postal Code

63368-7364
63368-7364

Country

US
US

Telephone Number

(636) 294-3197
(636) 294-3197

Authorized Official

Name

Jeffrey Lant

Title or Position

MANAGING MEMBER

Telephone Number

(636) 294-3197

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

info@fourcirclesvision.com

Endpoint Description

Unknown

Use

Direct

Content Type

Unknown

Affiliation

N

Endpoint Location

3449 Pheasant Meadow Dr Ste 100O Fallon, MO633687364US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/18/2022

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