Allan E. Kolker, M.D. LLC.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ALLAN E. KOLKER, M.D. LLC.

Practice address

12601 Olive Blvd
Saint Louis, MO 63141-6313

Phone

(314) 878-7962

Fax

(314) 878-7747

NPI assigned

Oct 18, 2006

Last updated

Nov 20, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Allan E. Kolker, M.D.

Title

President

Phone

(314) 878-7962

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1689755209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416313",
            "telephone_number": "314-878-7962",
            "fax_number": "314-878-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416313",
            "telephone_number": "314-878-7962",
            "fax_number": "314-878-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN E. KOLKER, M.D. LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "KOLKER",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-878-7962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Saint Louis, MO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.