ETTINGER OPTOMETRY, LLC
NPI 1003263096
Optometrist - Corneal and Contact Management in Fort Leonard Wood, MO

Active since May 19, 2016
143 REPLACEMENT AVE, BUILDING 487, FORT LEONARD WOOD, MO 65473(573) 329-4860(573) 329-4860 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ettinger Optometry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETTINGER OPTOMETRY, LLC (NPI 1003263096) is a healthcare organization registered as a corneal and contact management in Fort Leonard Wood, Missouri and active in the NPI registry since May 2016. The organization lists Ira Nathan Ettinger, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1003263096
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameETTINGER OPTOMETRY, LLC
Location Address143 REPLACEMENT AVE, BUILDING 487Fort Leonard Wood, MO 65473-9092
Mailing Address143 Replacement Ave, Building 487Fort Leonard Wood, MO 65473-9092 · (573) 329-4860 · Fax (573) 329-4860
Fax(573) 329-4860
Organization SubpartNo
Authorized OfficialIra Nathan EttingerOptometrist · (314) 420-7031
Enumeration DateMay 19, 2016
Last NPPES UpdateJune 1, 2016
NPI 1003263096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in MO · T02543
Definition
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.
143 REPLACEMENT AVE, Fort Leonard Wood, MO 65473

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
143 REPLACEMENT AVE, BLD 487
FORT LEONARD WOOD, MO 65473
Optometrist
143 REPLACEMENT AVE, BLDG 487
FORT LEONARD WOOD, MO 65473
Pharmacist
143 REPLACEMENT AVE, PX BLDG 487
FORT LEONARD WOOD, MO 65473

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ettinger Optometry, LLC's NPI number?

The NPI number for Ettinger Optometry, LLC is 1003263096. It was assigned to this organization in the NPPES registry on May 19, 2016.

Where is Ettinger Optometry, LLC located?

Ettinger Optometry, LLC is located at 143 Replacement Ave Building 487, Fort Leonard Wood, MO 65473. The listed phone number is (573) 329-4860.

What is Ettinger Optometry, LLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

When was this NPI record last updated?

The NPPES record for Ettinger Optometry, LLC was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.