| NPI | 1528152709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEISA SPIKER Optician 636-464-7387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MO 16871677) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-07-01 |