| NPI | 1053599472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M HARVEY Member 573-324-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO T03408) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2007018531) |
| 152W00000X Optometrist (Licence: MO 2007018394) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2014-09-04 |