| NPI | 1154895621 |
|---|---|
| Doing Business As | MALBAR VISION |
| Entity Type | Organization |
| Authorized Contact | CATHY LEE SHORT Credentialing Manager 618-462-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |