| NPI | 1417065129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ELLEN JONES President 314-739-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2004001643) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2014-08-29 |