NPI | 1295371946 |
---|---|
Doing Business As | PERFORMANCE EYECARE |
Entity Type | Organization |
Authorized Contact | DIRK MASSIE Optometrist/Owner 618-234-3053 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
Enumeration Date | 2019-11-18 |
Last Update Date | 2019-11-18 |