NPI | 1790022978 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY T CROSS Owner 907-260-9199 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: AK 326) |
Enumeration Date | 2013-01-09 |
Last Update Date | 2018-03-17 |