NPI | 1255468898 |
---|---|
Entity Type | Organization |
Authorized Contact | K. V. REDNAM Ophthalmologist 314-352-9800 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2020-08-22 |