| NPI | 1437193554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT EIGENBRODT President 618-656-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046008144) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2009-06-04 |