| NPI | 1962658971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER K HOWARD Optometrist/ Owner 573-614-5393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO 2008017078) |
| Enumeration Date | 2008-08-10 |
| Last Update Date | 2008-08-10 |