| NPI | 1386607562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SNELL Chief Administrative Officer 563-323-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2019-07-24 |