| NPI | 1750814117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN COOK CEO 800-792-1521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-05 |