| NPI | 1235260340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L NELSON President 515-961-7573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: IA 01595) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2014-09-08 |