| NPI | 1336355627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GREG TOLAND Owner 307-754-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-12-11 |