| NPI | 1134344658 |
|---|---|
| Other Name | OPTICAL DEPARTMENT |
| Entity Type | Organization |
| Authorized Contact | PENNY DRYDEN O PT Ician 563-242-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 22022) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-07-08 |