| 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 |