NPI | 1306547377 |
---|---|
Doing Business As | WINE COUNTRY VISION |
Entity Type | Organization |
Authorized Contact | EVAN CLARK BEUS Owner/Provider 509-972-6352 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2023-03-15 |
Last Update Date | 2023-03-15 |