| NPI | 1689845323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A HART Owner 417-255-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2006018277) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: MO 2006018277) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2012-09-07 |