NPI | 1649581323 |
---|---|
Entity Type | Organization |
Authorized Contact | JAY SLAGLE Administrator/CEO 402-552-2806 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Additional Taxonomies | 152W00000X Optometrist |
207W00000X Ophthalmology | |
Enumeration Date | 2010-06-28 |
Last Update Date | 2010-10-18 |