| NPI | 1730355934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MANN Executive Director 417-623-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |