NPI | 1275691354 |
---|---|
Doing Business As | CROWN OPTICAL |
Entity Type | Organization |
Authorized Contact | CHARLES D. MATTHEWS President 618-462-9818 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2006-12-04 |
Last Update Date | 2017-04-21 |