| NPI | 1376958843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA ONYEKWELU Dr 618-741-3715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002814) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: GA OPT002814) |
| 152WP0200X Optometrist, Pediatrics (Licence: GA OPT002814) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |