| NPI | 1558901652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY R NOBLE Payer Relations Manager 402-559-6195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |