| NPI | 1790145423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVEN SMITH Owner 314-440-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NC 1267) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |