| NPI | 1174806301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE HAYES Managing Optometrist 314-583-1548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2011018560) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2011018556) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2013-06-24 |