NPI | 1922268564 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS J MC GUIRE Optometrist 636-586-5406 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO T03075) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO T02872) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2009-07-15 |