| NPI | 1215242409 |
|---|---|
| Doing Business As | VISION CENTER 30-4697 |
| Entity Type | Organization |
| Authorized Contact | DIANNA PAINTER Enrollment Specialist 479-277-1238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |