| NPI | 1942564497 |
|---|---|
| Former Name | BILLIE JO MCKAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.010753) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3526-35) |
| 152W00000X Optometrist (Licence: MN 3768) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-07-09 |