NPI | 1083037022 |
---|---|
Doing Business As | WABASH VALLEY EYE CENTER |
Entity Type | Organization |
Authorized Contact | ERICA PERREIRA Chief Operating Officer 877-881-0022 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2014-01-28 |
Last Update Date | 2014-01-28 |