| NPI | 1114965126 |
|---|---|
| Doing Business As | MARQUETTE VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | GARY LEE STEPHENS O PT Ician 708-479-6232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-10-19 |