| NPI | 1154182236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEZLIE JONES Owner 507-376-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WP0200X Optometrist, Pediatrics | |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-03-14 |