| NPI | 1780938530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY SLAGLE Administrator/CEO 402-552-2806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2013-07-18 |