NPI | 1427292366 |
---|---|
Entity Type | Organization |
Authorized Contact | OSCAR H CORREDOR Member/Owner 515-963-4404 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IA 002444) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2003027013) |
Enumeration Date | 2009-04-22 |
Last Update Date | 2009-05-05 |