| NPI | 1487099545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE STEVEN HUEBENER President / Owner 319-337-4268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 01895) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2023-12-07 |