| NPI | 1316050610 |
|---|---|
| Doing Business As | VISION CENTER 30-1997 |
| Entity Type | Organization |
| Authorized Contact | TAMMY J BOYD Contract Coordinator 479-277-1359 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-05-13 |