| NPI | 1912458183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA J RAGLAND President/Optometrist 641-750-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 02106) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2018-05-15 |