| NPI | 1033505235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A HEDQUIST President 712-224-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 2254) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2018-01-30 |