Lally Eyecare Inc Valid NPI

Organization · Optometrist · Marshall, MO

NPI

1790890184

Type

Organization (Type 2)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

T03163 (MO)

Enumerated

2006-08-19

Last updated

2009-06-08