| NPI | 1891912846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE V PERALA Office Manager 307-634-2503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: WY 220T) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2010-06-03 |