| NPI | 1427250422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE P STEAHLY Owner 217-529-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2008-02-28 |