| NPI | 1336420082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK OWENS President 270-443-9904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |