NPI | 1457377848 |
---|---|
Doing Business As | OVERLAND OPTICAL FAMILY EYE CARE |
Entity Type | Organization |
Authorized Contact | RUSSELL GENE DENTSBIER Owner/President O PT Ician 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 |