| NPI | 1215986443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY SCHULTZ Center Director 800-948-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2014-09-15 |