| NPI | 1366085656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA THOMPSON Owner 402-382-6236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WP0200X Optometrist Pediatrics | |
| 156FX1800X Technician/Technologist Optician | |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2020-10-08 |