| NPI | 1538360177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN NEAL PRATER Owner 606-759-5341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 152W00000X Optometrist | |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2017-10-12 |