NPI | 1144554171 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN JOSEPH MEBRUER Sole Proprietor 417-342-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO t03479) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2009-09-23 |