| NPI | 1639120173 |
|---|---|
| Other Name | SENIOR MEDICAL SPECIALTIES |
| Entity Type | Organization |
| Authorized Contact | MARK A COOLEY President 888-840-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 998) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2009-07-08 |