NPI | 1720250244 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN E ROACH Executive Director 217-523-9201 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2008-03-25 |
Last Update Date | 2008-04-20 |