| NPI | 1144598350 |
|---|---|
| Doing Business As | VISION SOURCE LINCOLN VILLAGE |
| Entity Type | Organization |
| Authorized Contact | DIANE L YU-DAVIS President 512-454-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7703T) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |