| NPI | 1164774568 |
|---|---|
| Former Legal Business Name | VISION SPECIALISTS OF COUNCIL BLUFFS PLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ROBERT OLSON Owner/Provider 712-256-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 002496) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2013-08-02 |