Dr. Thebe Bagwasi
Optomitrist - Corneal and Contact Lenses
1307 Highway K
O Fallon
, Missouri 63366-5978
Dr. Thebe Bagwasi
Optomitrist - Corneal and Contact Lenses
1307 Highway K
O Fallon
, Missouri 63366-5978
(636) 272-1731
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Thebe Bagwasi
- 1307 Highway K
- O Fallon, MO
- Zip : 63366-5978
- Fax : (636) 272-1731
- Phone : (636) 980-2721
Second Address
- Dr. Thebe Bagwasi
- 1307 Highway K
- O Fallon, MO
- Zip : 63366-5978
- Fax : (636) 272-1731
- Phone : (636) 980-2721
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2004003244 | MO |
National Provider Identifier
| NPI | 1124037320 |
|---|---|
| Provider Name | Dr. Thebe Bagwasi |
| First Address | O Fallon, MO 63366-5978 |
| Second Address | O Fallon, MO 63366-5978 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2006 |
| Last Update Date | 05/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V12211 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.