| 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 |