NPI | 1710427844 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN VOGT STROMBERG Optometrist/Owner 267-242-7767 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001651) |
Enumeration Date | 2017-03-08 |
Last Update Date | 2017-03-08 |