NPI | 1235729351 |
---|---|
Doing Business As | PREMIER VISION |
Entity Type | Organization |
Authorized Contact | DANIEL JOSEPH NOVAK Optometrist 308-280-0404 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2021-01-22 |
Last Update Date | 2023-01-30 |