| NPI | 1467449686 |
|---|---|
| Other Name | OPTICAL SHOPPE |
| Entity Type | Organization |
| Authorized Contact | JOHN BRENT ALTFILLISCH O PT Ometrist 641-684-5463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 1537) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2008-08-13 |