| NPI | 1154994549 |
|---|---|
| Doing Business As | ARK VALLEY VISION CARE |
| Entity Type | Organization |
| Authorized Contact | JORDAN BRETT BALLANTYNE Owner 719-383-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |