| NPI | 1093602567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANY ADNAN RIZK Manager Vrs 715-971-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255R0406X Specialist/Technologist, Rehabilitation, Blind |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation |
| 152WV0400X Optometrist, Vision Therapy | |
| 174H00000X Health Educator | |
| 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner | |
| 225CA2500X Rehabilitation Counselor, Assistive Technology Supplier | |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |