NPI | 1699920397 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID REINECKE Owner 918-342-4222 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
152W00000X Optometrist | |
Enumeration Date | 2008-11-21 |
Last Update Date | 2014-11-04 |