| NPI | 1043422769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GIRA Cmo 636-227-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2023-08-22 |