NPI | 1154503423 |
---|---|
Doing Business As | VISION BOUTIQUE |
Entity Type | Organization |
Authorized Contact | SHERRI CHRISTINE RAST President Of Corporation 361-854-1460 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5396TG) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2007-11-28 |