| NPI | 1750315040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY FRANKLIN CORNWALL Partner 712-336-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 02082) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IA 01903) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-08-26 |