NPI | 1336222124 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL DOUGLAS BECHERER President 618-233-3040 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046006704) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2014-08-05 |