| NPI | 1053265173 |
|---|---|
| Doing Business As | VISTA OPTICAL IN SELECT MILITARY EXCHANGES |
| Entity Type | Organization |
| Authorized Contact | LEAHANN RENE VAUGHN Managed Care Director 404-775-9182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2026-02-25 |
| Last Update Date | 2026-02-25 |