| NPI | 1598714008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDON JAY GRAVES Owner/O PT Ometrist 402-898-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 998) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-03-23 |