| NPI | 1376601484 |
|---|---|
| Doing Business As | EYES ON MISSOURI |
| Entity Type | Organization |
| Authorized Contact | CATHY L. SHORT Credentialing Manager 800-407-2696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-06-27 |