NPI | 1770660839 |
---|---|
Entity Type | Organization |
Authorized Contact | DEAN L LAURITZEN Owner 402-529-3558 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NE 767) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NE 767) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2010-10-04 |