| NPI | 1376606681 |
|---|---|
| Doing Business As | VALLEY VISION CARE |
| Entity Type | Organization |
| Authorized Contact | GLEN C VANDENBERGE Secretary 308-635-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1223) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NE 797) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |