NPI | 1245574615 |
---|---|
Doing Business As | MINDEN VISION CLINIC |
Entity Type | Organization |
Authorized Contact | NATHANIEL BOLEN Optometrist 308-440-3837 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1292) |
Enumeration Date | 2012-11-25 |
Last Update Date | 2013-03-01 |