NPI | 1174751127 |
---|---|
Doing Business As | SERENITY VISION |
Entity Type | Organization |
Authorized Contact | GENNI A MAHONEY O PT Ician/Co Owner 608-758-3466 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2009-06-29 |
Last Update Date | 2009-10-09 |