| NPI | 1669788956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REID A MCDONALD Owner 319-337-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2012-04-20 |