GRANITE CITY VISION, INC.

GRANITE CITY, IL
NPI1174756902
Entity TypeOrganization
Authorized ContactBYRON W. WRIGHT
Owner
618-339-8951
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Additional Taxonomies152W00000X Optometrist
156FC0801X Technician/Technologist, Contact Lens Fitter
156FX1800X Technician/Technologist, Optician
305S00000X Point of Service
Enumeration Date2009-08-27
Last Update Date2019-08-26
Business Address
GRANITE CITY VISION, INC.
4182 NAMEOKI RD.
GRANITE CITY, IL 62040-2330
Phone number: 618-876-2438
Mailing Address
GRANITE CITY VISION, INC.
4182 NAMEOKI RD.
GRANITE CITY, IL 62040-2330
Phone number: 618-876-2438