NPI | 1609901776 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES WACHTER Doctor 636-200-4393 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL S492TA019) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2024-07-09 |