| NPI | 1942705488 |
|---|---|
| Doing Business As | EYETIQUE |
| Entity Type | Organization |
| Authorized Contact | CATHY L SHORT Credentialing Manager 618-462-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-06-27 |