Mogil, Jill
Mogil, Jill is an individual health care provider with primary practice located at 2821 N Ballas Rd Ste C11 , Saint Louis MO 63131-2313. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Low Vision Rehabilitation is her primary health care specialty. Mogil, Jill can be contacted via phone (833) 376-6445.Contact Information
Primary practice address
2821 N Ballas Rd Ste C11
Saint Louis MO 63131-2313
Phone: (833) 376-6445
Fax: (314) 312-6984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046007879 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TO2571 | Missouri |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | T02571 | Missouri |
Profile Details
| NPI number | 1285953844 |
|---|---|
| LBN Legal business name | Mogil, Jill |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2010 |
| Last updated | Jul 1st, 2021 - about 3 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 | 1285953844 | NPPES |
| Missouri | Other | 991722003 | MEDICARE PART B |
| Missouri | Other | 0009359551 | MEDICARE PART B |
| Missouri | Other | 1285953844 | MEDICARE PART B |
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