| NPI | 1548386915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE CONLEY President 712-252-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2011-09-29 |