| NPI | 1003187865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK M ROMSDAHL Owner 515-450-1869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: IA 002511) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2016-11-30 |