| NPI | 1033261904 |
|---|---|
| Doing Business As | EDWARDSVILLE VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA J. LEVI President 618-462-9818 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2024-02-21 |