NPI | 1447412861 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE DAWN JONES Vice President/ Secretary 641-780-5814 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IA 002431) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IA 002430) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2018-06-19 |