| NPI | 1649334905 |
|---|---|
| Former Name | PEGGY JO ROYS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 01905) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002415A) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2022-06-30 |