| NPI | 1487147963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEB ODEIN LEE Director Of Clinical Operations 515-239-4452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |