| NPI | 1063058386 |
|---|---|
| Doing Business As | PERFORMANCE EYECARE |
| Entity Type | Organization |
| Authorized Contact | DIRK MASSIE Optometrist/Od 618-234-3053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |