| NPI | 1205654258 |
|---|---|
| Doing Business As | BOWERSOX VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW MOONEY Owner/Optometrist 502-538-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |