| NPI | 1225254204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETT L KING CFO 307-745-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: WY WYO143) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2009-07-14 |