| NPI | 1114780095 |
|---|---|
| Doing Business As | FAMILY VISION CENTER - CORNING |
| Entity Type | Organization |
| Authorized Contact | DAVID DEPPEN Senior Director, Revenue Cycle 937-539-8057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |