| NPI | 1922113216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG LEE SEMLER Authorized Official Owner 641-456-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 01568) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-08-29 |