NPI | 1205078292 |
---|---|
Doing Business As | VISION CENTER 30-1788 |
Entity Type | Organization |
Authorized Contact | HOLLY C WILKINSON Carrier Specialist 479-204-8320 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2009-04-06 |