| NPI | 1245423540 |
|---|---|
| Doing Business As | VILLAGE GREEN OPTICAL |
| Entity Type | Organization |
| Authorized Contact | SUSAN KATHLEEN KLINE Administrator 641-423-8861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2008-04-14 |