| NPI | 1396510038 |
|---|---|
| Doing Business As | INTERNATIONAL EYECARE CENTER -CENTERVILLE |
| Entity Type | Organization |
| Authorized Contact | ABBY THOMAS President 618-462-9818 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |