Provider Demographics
NPI:1184038986
Name:PALEY, GRACE L (MD)
Entity type:Individual
Prefix:DR
First Name:GRACE
Middle Name:L
Last Name:PALEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12400 OLIVE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-5436
Mailing Address - Country:US
Mailing Address - Phone:314-391-9400
Mailing Address - Fax:618-861-6003
Practice Address - Street 1:12400 OLIVE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-5436
Practice Address - Country:US
Practice Address - Phone:314-391-9400
Practice Address - Fax:618-861-6003
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018010489207WX0120X, 207W00000X
IL036.177222207W00000X, 207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist