NPI | 1235337494 |
---|---|
Doing Business As | ADVANCED FAMILY VISION CARE |
Entity Type | Organization |
Authorized Contact | C GREGORY VICKERS President 715-358-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WI 2838-035) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2007-11-12 |