NPI | 1083114375 |
---|---|
Doing Business As | RIVERDALE VISION CENTER |
Entity Type | Organization |
Authorized Contact | TOD M HALLER Physician 913-908-0904 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 250274) |
Enumeration Date | 2018-02-13 |
Last Update Date | 2018-08-30 |