NPI | 1831368133 |
---|---|
Doing Business As | MALBAR VISION |
Doing Business As | MALBAR VISION CENTER |
Entity Type | Organization |
Authorized Contact | CATHY L SHORT Credentialing Manager 618-462-9818 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2008-02-21 |
Last Update Date | 2021-01-22 |