| NPI | 1285627562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GIRA Cmo 316-858-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2023-08-24 |