| NPI | 1255675740 |
|---|---|
| Doing Business As | PERFORMANCE EYECARE |
| Entity Type | Organization |
| Authorized Contact | DIRK F MASSIE President 618-234-3053 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2002005316) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2021-08-09 |