| Organization Name: | WJC LTD |
| NPI Number: | 1023187184 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MITCH JAMES THOMPSON (MANAGER OWNER) |
| Mailing Address: | 2056 8th Street Coralville |
| State: | IA US |
| Postal Code: | 522411502 |
| Phone Number: | 3193389381 |
| Fax Number: | 3194664662 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 04/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |