NPI | 1760670665 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL R. TUTTLE President 515-230-4214 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IA 002407) |
Enumeration Date | 2007-10-05 |
Last Update Date | 2007-10-05 |