NPI | 1295417459 |
---|---|
Doing Business As | VILLAGE VISION CARE |
Entity Type | Organization |
Authorized Contact | ANDREA N CERAVOLO Administrator 141-926-6668 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2023-08-07 |
Last Update Date | 2023-08-07 |