| NPI | 1790920379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD N. LUCAS Vice President 314-772-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO TO2570) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO TO2350) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |