NPI | 1366257990 |
---|---|
Doing Business As | WHITE RIVER FAMILY EYECARE |
Doing Business As | HANOVER EYECARE |
Entity Type | Organization |
Authorized Contact | SHELLEY R SHIPLEY Billing Manager 802-295-4887 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2025-02-11 |
Last Update Date | 2025-05-09 |