| NPI | 1205072360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY J ALBERT Practice Manager 636-717-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2005009915) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2015-04-28 |