| NPI | 1508899543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH P GIRA Owner 314-432-5478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-11-01 |