NPI | 1417378555 |
---|---|
Doing Business As | AVERA MEDICAL GROUP OPTOMETRY WORTHINGTON |
Entity Type | Organization |
Authorized Contact | DEBBIE STREIER CEO 507-537-9160 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2013-12-16 |
Last Update Date | 2022-12-02 |