| NPI | 1790265759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY EGHIGIAN Director 314-273-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |