| NPI | 1154951291 |
|---|---|
| Former Legal Business Name | VALLEY RANCH EYE CARE |
| Entity Type | Organization |
| Authorized Contact | PAUL HEEG Owner 518-312-6923 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |