| NPI | 1265887160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLIE J GOLDEN Od/Owner 308-221-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1416) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2023-06-28 |