| NPI | 1316550411 |
|---|---|
| Doing Business As | VISION SOURCE PLANO |
| Entity Type | Organization |
| Authorized Contact | TIM MILBURN President 330-416-4569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-10-20 |