NPI | 1053501585 |
---|---|
Other Name | LIFETIME EYEHEALTH ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DAN STADELMAN Od/President 563-355-3912 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IA 01826) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2021-08-27 |