| NPI | 1245619873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT T HUSSEY Owner 636-305-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2003014776) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2020-01-27 |