| NPI | 1396991527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX NICHOLAS MANERA Optometrist/President 618-627-8868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-008585) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |