| NPI | 1073749438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE DAWN ADAMS Owner/Optometrist 618-943-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009816) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2010-05-26 |