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 |