NPI | 1164750477 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNDA MARIE BURR-BAKER Owner/Optometrist 319-395-7692 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IA 02197) |
Enumeration Date | 2009-11-24 |
Last Update Date | 2009-11-24 |