| NPI | 1639320179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MITCHELL CEO 775-825-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: NV 374) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2010-07-12 |