| NPI | 1598978157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA KAY HUDSON Optician 573-445-8636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MO 10050400) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |