| NPI | 1922266212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M ROBERT HILL Medical Director 314-633-8641 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-09-04 |