NPI | 1689900292 |
---|---|
Entity Type | Organization |
Authorized Contact | SERGIO GERARDO MIJANGOS Doctor Of Optometry 605-422-1745 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IA 2445) |
Enumeration Date | 2009-11-02 |
Last Update Date | 2009-11-02 |