Lutz, Charles M.

Lutz, Charles M. is an individual health care provider with primary practice located at 1944 Zumbehl Rd , Saint Charles MO 63303-2721. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lutz, Charles M. can be contacted via phone (636) 916-5367.

Contact Information

Primary practice address
1944 Zumbehl Rd Saint Charles MO 63303-2721
Phone: (636) 916-5367
Fax: (800) 432-6004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T03108 Missouri

Profile Details

NPI number 1750340741
LBN Legal business name Lutz, Charles M.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 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 1750340741 NPPES
Missouri MEDICAID 314895210
Missouri Other 44325
Missouri Other P00403026
Missouri Other 108615
Missouri Other 20990
Missouri Other UNKNOWN
Missouri Other 20264
Missouri Other 108615
Missouri Other 22-01201
Missouri Other 410048087
Missouri Other U90217
Missouri Other 110972
Missouri MEDICAID 314895202
Missouri Other 675482

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