NPI | 1003435348 |
---|---|
Doing Business As | ENVISION DALLAS |
Entity Type | Organization |
Authorized Contact | STACY R FULLER Sr. Director Rehabilitation Service 316-440-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 225XL0004X Occupational Therapist, Low Vision |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation |
Enumeration Date | 2020-04-15 |
Last Update Date | 2024-10-30 |