| NPI | 1396833174 |
|---|---|
| Doing Business As | OVERLAND OPTICAL FAMILY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | RUSSELL G. DENTSBIER Owner/President 314-401-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MO 036582) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2021-01-08 |