NPI | 1285095703 |
---|---|
Doing Business As | GREEN FAMILY VISION CARE |
Entity Type | Organization |
Authorized Contact | REBECCA GREEN Optometrist 502-649-0283 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1922 DT) |
Enumeration Date | 2016-03-10 |
Last Update Date | 2016-03-10 |