NPI | 1033549555 |
---|---|
Doing Business As | EPIC VISION SOURCE |
Entity Type | Organization |
Authorized Contact | SUZANNE M JONES Optometrist 210-858-7408 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7055T) |
Enumeration Date | 2013-11-19 |
Last Update Date | 2024-08-09 |