| NPI | 1528149457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEB O. LEE Exec Dir Clinical Operations 515-663-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |