NPI | 1598114001 |
---|---|
Doing Business As | PERFORMANCE EYECARE |
Entity Type | Organization |
Authorized Contact | PAM HARK Insurance Specialist 618-234-3053 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2016-06-06 |
Last Update Date | 2016-06-06 |