| NPI | 1508838954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIV BRIT SAETRE President 563-322-0923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2009-09-23 |