| NPI | 1417900903 |
|---|---|
| Former Legal Business Name | OPTOMETRIC EYE CARE CENTER OD PA |
| Entity Type | Organization |
| Authorized Contact | ALISON BAILEY Owner 636-200-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-09-29 |