| NPI | 1588723837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MEADE SCOGGIN Optometrist 573-346-5951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO T02691) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO T02552) |
| 152W00000X Optometrist (Licence: MO TO3452) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-11-23 |