NPI | 1215008164 |
---|---|
Doing Business As | VISION CLINIC |
Entity Type | Organization |
Authorized Contact | LARRY D PECK President 319-524-3651 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IA 1719) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2012-12-12 |