NPI | 1538139357 |
---|---|
Entity Type | Organization |
Authorized Contact | NAVANEET S.C. BORISUTH Owner 563-264-3414 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2006-01-24 |
Last Update Date | 2010-05-10 |