| NPI | 1790745313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B MATTAX President 417-886-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2016-05-05 |