NPI | 1316067358 |
---|---|
Doing Business As | VISION SOURCE |
Entity Type | Organization |
Authorized Contact | MARK LEE President 702-876-4656 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV NV0390) |
Enumeration Date | 2007-03-31 |
Last Update Date | 2008-02-26 |