NPI | 1841426210 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD S. JARKA President 636-449-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO TO2796) |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2009-05-29 |
Last Update Date | 2009-05-29 |