NPI | 1710123781 |
---|---|
Doing Business As | KETTELER EYECARE |
Entity Type | Organization |
Authorized Contact | ADAM J KETTELER Optometrist/Owner 402-925-2669 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NE 1218) |
Enumeration Date | 2008-12-22 |
Last Update Date | 2008-12-23 |