| NPI | 1184272015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN ANDERSEN Owner 402-540-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2020-01-07 |