| NPI | 1457612756 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANNETTE JURADO ASTUTO Optometrist/Owner/President 402-707-0887 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1270) | 
| Enumeration Date | 2012-06-04 | 
| Last Update Date | 2012-06-04 |