NPI | 1336454529 |
---|---|
Doing Business As | VISION CENTER 30-1319 |
Entity Type | Organization |
Authorized Contact | DIANNA PAINTER Enrollment Specialist 479-277-1238 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
Enumeration Date | 2010-08-11 |
Last Update Date | 2010-08-11 |