| NPI | 1952725210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WILLIAM ALTENBERND O PT Ometrist 314-477-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: MO TO3366) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |