| NPI | 1538563895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MOLL Owner/Optometrist 870-336-0387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: AR 2628) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: AR 2591) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |