| NPI | 1306964382 |
|---|---|
| Doing Business As | VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | DAVID SAMUEL DAVIS President 702-385-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV NV245) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2009-01-08 |