| NPI | 1750429858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN THOMAS HORNDASCH President CEO 262-432-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2022-08-23 |