| NPI | 1801981899 |
|---|---|
| Doing Business As | SOUTH COUNTY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | BRANDI NICOLE POLK Admin 314-843-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MO mdr9n88) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-02-19 |