NPI | 1255478095 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN ARTHUR MCGREAL Owner 314-569-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 36602) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO T03182) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2010-09-22 |