| NPI | 1568747210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE L HALEY Optometrist/Member 573-329-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2001021461) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2013-01-15 |