| 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 |