NPI | 1316164437 |
---|---|
Doing Business As | SOUTHERN HIGHLANDS VISION SOURCE |
Entity Type | Organization |
Authorized Contact | THOMAS T HA President 702-435-6527 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 459) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2013-07-23 |