| NPI | 1750362174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY CRAIG ANDERSON Owner Optometrist 515-432-2973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA IA1854) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2008-07-24 |