NPI | 1447345566 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN J. PALOUCEK Owner 308-284-4394 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1039) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CO 1765) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2008-06-23 |