| NPI | 1972671881 |
|---|---|
| Other Name | SUBCHAPTER S CORPORATION |
| Entity Type | Organization |
| Authorized Contact | LARRY MALICKY Owner 402-564-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 801) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NE 1069) |
| 152W00000X Optometrist (Licence: NE 1091) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-03-23 |