| NPI | 1124460621 |
|---|---|
| Former Legal Business Name | ENVISION EYE & LASER CENTER |
| Entity Type | Organization |
| Authorized Contact | RENEE C BOVELLE Owner 301-805-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2016-03-23 |