| NPI | 1184954463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R ADLER President 641-932-7614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: IA 1561) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-05-05 |