| NPI | 1982955571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LOUIS BRODKEY O PT Ometrist 712-274-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA IA1635) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2014-02-19 |