Reddan, Mark Joseph
Reddan, Mark Joseph is an individual health care provider with primary practice located at 900 N Highway 67 , Florissant MO 63031-2919. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Reddan, Mark Joseph can be contacted via phone (314) 838-0300.Contact Information
Primary practice address
900 N Highway 67
Florissant MO 63031-2919
Phone: (314) 838-0300
Fax: (314) 838-4682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02531 | Missouri |
Profile Details
| NPI number | 1558390229 |
|---|---|
| LBN Legal business name | Reddan, Mark Joseph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Nov 9th, 2022 - about 2 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 | 1558390229 | NPPES |
| Missouri | Other | 257404410 | MISSOURI LICENSE |
Popular Providers
-
Fox, Jamal James
3819 Vaile Ave , Florissant MO 63034-2227 -
Homann, Alexandra Schuette
230 N Lindbergh Blvd , Florissant MO 63031-5904 -
Merritt, Carol Flewellen
45 Black Jack Ct , Florissant MO 63033-7101 -
Meyer, Lucias Daniel
230 N Lindbergh Blvd , Florissant MO 63031-5904 -
Hohenberger, Mary C.
935 N Highway 67 , Florissant MO 63031-2917 -
Brown, Marc Richard
85A Florissant Oaks Shopping Center , Florissant MO 63031 -
Brown, Andrew David
3533 Dunn Rd , Florissant MO 63033-6761 -
Kerber, Deborah Lynn
875 Saint Francois St , Florissant MO 63031-4923