| NPI | 1275505117 |
|---|---|
| Doing Business As | MAIN STREET EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOSEPH BOWMAN President 573-248-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO T02825) |
| Enumeration Date | 2006-02-05 |
| Last Update Date | 2009-02-26 |