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 |