| NPI | 1942510334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL M LOFTIN Optometrist/ Owner 573-881-7176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO T03245) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2019-12-12 |