NPI | 1124694450 |
---|---|
Doing Business As | NATURAL STATE EYECARE |
Entity Type | Organization |
Authorized Contact | WILLIAM RYAN WOOD Owner 870-588-6635 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2021-05-27 |
Last Update Date | 2022-03-25 |