| NPI | 1912059817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY SLAGLE CEO 402-552-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-02-11 |