| NPI | 1871941138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FREDERICK Ocularist/Owner 314-750-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OH O.24) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |