NPI | 1477937274 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS J AUGUSTIAN CEO / Chief Executive Officer 920-490-9046 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2015-07-13 |
Last Update Date | 2022-04-13 |