Fada, Raymond
Fada, Raymond is an individual health care provider with primary practice located at 6157 Mid Rivers Mall Dr 202, Saint Peters MO 63304-1105. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fada, Raymond can be contacted via phone (636) 926-3647.Contact Information
Primary practice address
6157 Mid Rivers Mall Dr 202
Saint Peters MO 63304-1105
Phone: (636) 926-3647
Fax: (636) 926-3684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02848 | Missouri |
Profile Details
| NPI number | 1013913094 |
|---|---|
| LBN Legal business name | Fada, Raymond |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Nov 18th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013913094 | NPPES |
| Missouri | MEDICAID | 3180812005 | |
| Missouri | Other | 410035943 |
Popular Providers
-
Lyman, John C
2330 Mid Rivers Mall , Saint Peters MO 63376-4377 -
Redfern, Jennifer A
100 Piper Hill Dr Suite D, Saint Peters MO 63376-1616 -
O'Brien, Blaire Sharee
6157 Mid Rivers Mall Dr , Saint Peters MO 63304-1105 -
Jacob, James Leland
6664 Mexico Rd , Saint Peters MO 63376-4131 -
Vangilder, Robert Ellis
1661 Jungermann Rd , Saint Peters MO 63304-2821 -
Wheeler, David Glenn
569 Mid Rivers Mall Dr , Saint Peters MO 63376-2152 -
Berg, Parker Steven
227 Salt Lick Rd , Saint Peters MO 63376-5974 -
Hegyi, Laura M.
227 Salt Lick Rd , Saint Peters MO 63376-5974