| NPI | 1295872026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE H COHEN President 314-361-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO R6B36) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO T02676) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2011-11-09 |