| NPI | 1326131350 |
|---|---|
| Doing Business As | FIRST STREET VISION |
| Entity Type | Organization |
| Authorized Contact | RYAN PATRICK LARSEN Optometrist 307-266-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WY 309T) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |