| NPI | 1104689165 |
|---|---|
| Doing Business As | 515 VISION CARE |
| Entity Type | Organization |
| Authorized Contact | MARQUETTA LATIMORE Credentialing Manager 319-204-5326 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |