| NPI | 1508259987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN BARRETT Partner 573-864-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO T02640) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2012017941) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |