| NPI | 1649477456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J ROBERTS CFO 417-820-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 106044) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2024-11-14 |