Individual provider · Type 1 NPI

Daniel P. Ethakoti, OD

Optometrist · St. Louis, MO

NPI number 1740662964 Active

Practice location

3732 S Kingshighway Blvd
St. Louis, MO 63109-1800

Call (314) 446-1134 Map

Fax (314) 446-1136

Mailing address

211 E Broadway
Alton, IL 62002-6220

Specialties and licenses

Taxonomy	Code	License
Optometrist Primary	152W00000X	2015020209 (MO)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1740662964

Daniel P. Ethakoti, OD's National Provider Identifier is 1740662964, issued on Jun 24, 2015. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 24, 2015.