| NPI | 1366555690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K. V. REDNAM President 314-352-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2011-09-23 |