Organization
EYEWEARHAUS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L HARRIS ABOC (PRESIDENT)
(314) 567-7423
Entity
Organization
Contact information
Practice address
745 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6715
(314) 567-7423
(314) 567-7562
Mailing address
745 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6715
(314) 567-7423
(314) 567-7562
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/25/2008
Last updated
07/14/2008
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