NPI | 1336102052 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA BILLINGS Od, Partner 515-270-2490 |
Organization Subpart ? | No |
Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: IA 1965) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2024-07-23 |