Lopatin, Brian D.

Lopatin, Brian D. is an individual health care provider with primary practice located at 4145 Lindell Blvd , Saint Louis MO 63108-2913. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lopatin, Brian D. can be contacted via phone (314) 533-1898.

Contact Information

Primary practice address
4145 Lindell Blvd Saint Louis MO 63108-2913
Fax: (800) 432-6004
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T03191 Missouri

Profile Details

NPI number 1710946991
LBN Legal business name Lopatin, Brian D.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Dec 19th, 2012 - about 12 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 1710946991 NPPES
Missouri MEDICAID 315083105
Missouri Other P00403024
Missouri Other 115889
Missouri Other 23056
Missouri Other 410048354
Missouri Other PENDING
Missouri Other MO3191
Missouri Other 21176
Missouri Other UNKNOWN
Missouri Other 22-00106
Missouri Other 115889
Missouri Other 674835
Missouri Other U89401
Missouri Other UNKNOWN

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