| NPI | 1568599827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN S JONES President 712-324-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 01564) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IA 02226) |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IA 01564) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-11-28 |