| NPI | 1144476839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY C. KILGORE President 636-639-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2011-11-22 |