| NPI | 1326404898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD WILLIAM CHRISTENSEN Sole Member 515-223-7215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 01887) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |