Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Louis Eye Clinic

Organization Glaucoma Specialist (Ophthalmology) Physician · NPI 1629105259

St Louis Eye Clinic provides Glaucoma Specialist (Ophthalmology) Physician services in Saint Louis, Missouri. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

12818 Tesson Ferry Rd Ste 102&104
Saint Louis, MO 63128-2613
Phone: (314) 352-9800
Fax: (314) 352-4290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Glaucoma Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0009X

Record details

NPI number1629105259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Kutz — Credentialing & Billing Specialist · (314) 352-9800
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJune 10, 2025
Certification dateJune 2, 2025
Mailing address12818 Tesson Ferry Rd Ste 102&104, Saint Louis, MO 63128-2613

Other providers in Saint Louis