| NPI | 1932388824 |
|---|---|
| Other Name | TABLE ROCK FAMILY VISION |
| Entity Type | Organization |
| Authorized Contact | DANIEL E BOONE Owner / Operator 417-272-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO T03007) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-11-26 |