| NPI | 1639347016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE WM WHITE O PT Ometrist 417-466-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MO 002104) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-03-06 |