Provider Demographics
NPI:1154632131
Name:ST LUCYS CATARACT & LASER CENTER LLC
Entity Type:Organization
Organization Name:ST LUCYS CATARACT & LASER CENTER LLC
Other - Org Name:GALANIS CATARACT & LASER EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:GALANIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-633-8575
Mailing Address - Street 1:7331 WATSON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-4405
Mailing Address - Country:US
Mailing Address - Phone:314-633-8575
Mailing Address - Fax:314-752-3256
Practice Address - Street 1:7331 WATSON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-4405
Practice Address - Country:US
Practice Address - Phone:314-633-8575
Practice Address - Fax:314-752-3256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO36602207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty