| NPI | 1427000181 |
|---|---|
| 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 | 2006-05-17 |
| Last Update Date | 2023-09-29 |