| NPI | 1124562699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANNER CALVIN GATES Optometrist 402-502-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: NE 1362) |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2016-12-18 |