| NPI | 1144409970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD GUSTAF GEILER Owner/O PT Ometrist 928-445-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| 152WP0200X Optometrist Pediatrics | |
| 152WS0006X Optometrist Sports Vision | |
| 152WV0400X Optometrist Vision Therapy | |
| 152WX0102X Optometrist Occupational Vision | |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |