| NPI | 1588786750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA JOAN KNOX Owner 314-821-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: MO TO 2005) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |