NPI | 1154551588 |
---|---|
Doing Business As | BRISTOL BAY AREA HEALTH CORPORATION VISION GROUP |
Entity Type | Organization |
Authorized Contact | ROBERT J CLARK Chief Executive Officer 907-842-5201 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2009-07-20 |
Last Update Date | 2023-11-09 |