| NPI | 1275805087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE PATRICIA HAMILL Principal 314-540-0668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-008083) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-10 |