| NPI | 1285170696 |
|---|---|
| Former Legal Business Name | WILSON POLITO INC |
| Other Name | ALPINE VISION CENTER |
| Doing Business As | ALPINE VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | NATHAN MICHAEL WILSON President 208-743-5830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP 100-222) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2021-06-03 |