NPI | 1619172368 |
---|---|
Doing Business As | JACOBS & CRABTREE DCTRS OF OPTOMETRY |
Entity Type | Organization |
Authorized Contact | CAROLYN KELLER Manager 618-993-8787 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046-007399) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2022-12-06 |