Ensley, Robert Lee

Ensley, Robert Lee is an individual health care provider with primary practice located at 7800 Natural Bridge Rd 1 University Blvd, Saint Louis MO 63121-4617. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Ensley, Robert Lee can be contacted via phone (314) 516-5131.

Contact Information

Primary practice address
7800 Natural Bridge Rd 1 University Blvd Saint Louis MO 63121-4617
Phone: (314) 516-5131
Fax: (314) 516-5507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2013020411 Missouri
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2013020411 Missouri

Profile Details

NPI number 1619317302
LBN Legal business name Ensley, Robert Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2013
Last updated Sep 26th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619317302 NPPES
Missouri MEDICAID 1619317302

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