| NPI | 1699852756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN L LAURITZEN Owner 402-625-5081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 767) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NE 767) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-10-04 |