| 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 |