| NPI | 1215317524 |
|---|---|
| Doing Business As | SIX ONE SIX VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | RYAN DOUGLAS HUBER O PT Ometrist/Owner 208-514-1858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP-100228) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2016-03-21 |