Ofallon Optometric Clinic Valid NPI

Organization · Optometrist · O Fallon, MO

NPI

1457487837

Type

Organization (Type 2)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

T02240 (MO)

Enumerated

2007-02-27

Last updated

2014-04-23