NPI | 1629585716 |
---|---|
Doing Business As | IDEAL EYECARE |
Entity Type | Organization |
Authorized Contact | MATTHEW ROBERT TAYLOR President 712-256-8898 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1357) |
Enumeration Date | 2018-01-10 |
Last Update Date | 2021-11-22 |