| NPI | 1952544215 |
|---|---|
| Doing Business As | OPTICAL GALLERY |
| Entity Type | Organization |
| Authorized Contact | KIMBERL;Y A RAYMOND O PT Ometrist And Owner 402-470-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2012-03-29 |