ETTINGER OPTOMETRY, LLC – NPI #1003263096
Optometrist

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

ETTINGER OPTOMETRY, LLC is an optometrist located in FORT LEONARD WOOD, MO. NPPES has assigned the NPI number 1003263096 to ETTINGER OPTOMETRY, LLC on May 19, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 152WC0802X from the Health Care Provider Taxonomy code set, which is classified as Optometrist, specializing in Corneal and Contact Management

The NPI profile was previously updated about 10 years ago on Jun 01, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETTINGER OPTOMETRY, LLC below.

NPI Profile for
ETTINGER OPTOMETRY, LLC

NPI Number
1003263096
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ETTINGER OPTOMETRY, LLC
Primary location
143 REPLACEMENT AVE
BUILDING 487
FORT LEONARD WOOD, MO 65473-9092
Phone: (573) 329-4860 Fax: (573) 329-4860
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
IRA ETTINGER
OPTOMETRIST
Phone: (314) 420-7031
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152WC0802X
- Optometrist / Corneal and Contact Management (Primary)
MO T02543

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.