| NPI | 1629105259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J SCIORTINO Ophthalmologist 314-352-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2011-10-27 |