NPI | 1215124169 |
---|---|
Doing Business As | FAMILY VISION CLINIC |
Entity Type | Organization |
Authorized Contact | MARTIN B GRESAK Owner 304-599-2828 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: WV 748-OD) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2008-01-08 |