NPI | 1922316041 |
---|---|
Doing Business As | AVERA MEDICAL GROUP OPTOMETRY SPRINGFIELD |
Entity Type | Organization |
Authorized Contact | DEBBIE STREIER CEO 507-537-9160 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2010-09-23 |
Last Update Date | 2022-12-02 |