| NPI | 1225199979 |
|---|---|
| Doing Business As | VISION SOURCE - PROFESSIONAL EYE CARE |
| Entity Type | Organization |
| Authorized Contact | HORACE E DEAL Owner, Provider 912-764-5609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPTO01603) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2024-06-24 |