| NPI | 1306967120 |
|---|---|
| Doing Business As | OPTOMETRIC VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN T RIETZ O PT Ometrist 208-746-3626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2009-11-05 |