| NPI | 1902127459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK W SCHWAGER Optometrist/Owner 618-656-4658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.005901) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-18 |