| NPI | 1003692617 |
|---|---|
| Doing Business As | THE EYEGLASS STORE |
| Entity Type | Organization |
| Authorized Contact | MELISSA ALLISON Sr. Director Rcm/Mvc 618-462-9818 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |