NPI | 1437154705 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN LEE WASSERBURGER Owner/President 308-436-3176 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NE 789) |
Enumeration Date | 2005-06-14 |
Last Update Date | 2014-08-06 |