Pollock, Connie M.

Pollock, Connie M. is an individual health care provider with primary practice located at 5694 Telegraph Rd , Saint Louis MO 63129-4243. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Pollock, Connie M. can be contacted via phone (314) 846-4222.

Contact Information

Primary practice address
5694 Telegraph Rd Saint Louis MO 63129-4243
Fax: (800) 432-6004
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TO2246 Missouri

Profile Details

NPI number 1861469918
LBN Legal business name Pollock, Connie M.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 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 1861469918 NPPES
Other 108710 BLUE CROSS BLUE SHIELD MO
Other 12453 BLUE CROSS BLUE SHIELD MO
Other 340370 BLUE CROSS BLUE SHIELD MO
Other 410048091 BLUE CROSS BLUE SHIELD MO
Other 5217 BLUE CROSS BLUE SHIELD MO
Other T92390 BLUE CROSS BLUE SHIELD MO
Other P00305305 BLUE CROSS BLUE SHIELD MO
Other 110977 BLUE CROSS BLUE SHIELD MO
MEDICAID 310754627 BLUE CROSS BLUE SHIELD MO
Other 4197 BLUE CROSS BLUE SHIELD MO
Other 22-00135 BLUE CROSS BLUE SHIELD MO

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