| NPI | 1548539612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO VOLANTE DOZON Owner/President 402-932-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1276) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NE 1276) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |