| NPI | 1710166996 |
|---|---|
| Doing Business As | OPTICAL GALLERY |
| Entity Type | Organization |
| Authorized Contact | MANDY JANE JOHNSON Owner/Optometrist 308-234-9913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1220) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2021-11-12 |