| NPI | 1780742908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL R JOHNSON Doctor Of O PT Ometry 563-359-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA IA02142) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2010-01-12 |