NPI | 1245308253 |
---|---|
Doing Business As | PROFESSIONAL EYECARE |
Entity Type | Organization |
Authorized Contact | BRANDON A. BLAIR Owner 308-728-3229 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2006-11-30 |
Last Update Date | 2019-02-28 |