NPI | 1215158910 |
---|---|
Doing Business As | PERFORMANCE EYECARE |
Entity Type | Organization |
Authorized Contact | PAM HARK Insurance Manager 618-234-3053 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2006021777) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2023-04-27 |