NPI | 1902662661 |
---|---|
Doing Business As | EIGENBRODT VISION CENTER |
Entity Type | Organization |
Authorized Contact | CHRISTINA J. LEVI Owner 618-462-9818 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2024-02-21 |
Last Update Date | 2024-02-21 |