NPI | 1255440053 |
---|---|
Doing Business As | VISION CENTER 30-2859 |
Entity Type | Organization |
Authorized Contact | TAMMY J BOYD Contract Coordinator 479-277-1359 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2020-08-22 |