| NPI | 1760652044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BEDWELL Owner/Optometrist 618-544-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046007815) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2012-02-16 |