| NPI | 1841345543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE P STEAHLY Owner 217-529-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-01-23 |