NPI | 1619339447 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES WALTER LIEBER Owner/Doctor Of Optometry 618-465-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046007478) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2016-03-22 |