| NPI | 1124653209 |
|---|---|
| Doing Business As | THREE RIVERS EYE CARE |
| Entity Type | Organization |
| Authorized Contact | KELLY THERRIEN O PT Ical Billing Syst EMS Manager 616-588-6532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2021-02-15 |