NPI | 1639387988 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD D PETERSON President Optometrist 319-832-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IA 02103) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2014-02-05 |