| NPI | 1093592933 |
|---|---|
| Other Name | DR. TERRY L. BOLEN, OPTOMETRIST |
| Entity Type | Organization |
| Authorized Contact | TERRY LEE BOLEN Owner 775-750-7542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |