Provider Demographics
NPI:1659435493
Name:RASCHER, KURT A (OD)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:A
Last Name:RASCHER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 NORTHWEST PLZ
Mailing Address - Street 2:
Mailing Address - City:SAINT ANN
Mailing Address - State:MO
Mailing Address - Zip Code:63074-2205
Mailing Address - Country:US
Mailing Address - Phone:314-344-5654
Mailing Address - Fax:314-739-0234
Practice Address - Street 1:15 CRESTWOOD PLZ
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-1702
Practice Address - Country:US
Practice Address - Phone:314-968-7654
Practice Address - Fax:314-918-1434
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOT02588152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist