| NPI | 1457377848 |
|---|---|
| Doing Business As | OVERLAND OPTICAL FAMILY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | RUSSELL GENE DENTSBIER Owner/President Optician 314-423-3874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MO 036582) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2011-01-13 |