| NPI | 1902089428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEIGH ELM President/O PT Ometrist 920-496-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 2363) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2009-02-23 |