| NPI | 1922276310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN NEGRE Owner/Doctor 417-678-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MO T03480) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2010-11-11 |