| NPI | 1295976744 |
|---|---|
| Doing Business As | PREMIER VISION |
| Entity Type | Organization |
| Authorized Contact | BLANCA E. LICON Optician 915-855-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |