| NPI | 1063742690 |
|---|---|
| Doing Business As | VISION CENTER 30-3795 |
| Entity Type | Organization |
| Authorized Contact | HOLLY C WILKINSON Carrier Specialist 479-204-8320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |