| NPI | 1508155888 |
|---|---|
| Doing Business As | HANNIBAL REGIONAL MEDICAL GROUP VISION INSTITUE |
| Entity Type | Organization |
| Authorized Contact | ROGER J DIX CFO 573-248-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |