| NPI | 1386225068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ELLIOTT Business Manager 308-865-2760 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-05-25 |