| NPI | 1598755589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J PELLEGRINE President 314-997-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MO 14800888) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2020-08-22 |