NPI | 1114128667 |
---|---|
Doing Business As | FAMILY VISION HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | ROGER D. FANNIN President 606-474-7833 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1018DT) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2023-04-14 |