Provider Demographics
NPI:1073637914
Name:CHRISTOPHER M SCHRICK OD LLC
Entity Type:Organization
Organization Name:CHRISTOPHER M SCHRICK OD LLC
Other - Org Name:CHRISTOPHER M SCHRICK OD LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SCHRICK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:314-845-6394
Mailing Address - Street 1:3730 GUMTREE LN
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-7234
Mailing Address - Country:US
Mailing Address - Phone:314-845-6394
Mailing Address - Fax:314-837-8122
Practice Address - Street 1:3849 VOGEL RD
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-6201
Practice Address - Country:US
Practice Address - Phone:636-287-1793
Practice Address - Fax:636-287-1844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002-023534152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty