| NPI | 1730197799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY D BETSWORTH Optician Certified 319-233-5246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2010-04-12 |