| NPI | 1356686604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H BEDWELL Partner / Optometrist 618-544-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-007815) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046-008222) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |