NPI | 1417131046 |
---|---|
Doing Business As | PROFESSIONAL VISION CARE |
Entity Type | Organization |
Authorized Contact | MICHAEL V. JOHNSTON President 712-755-2150 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IA 01898) |
Enumeration Date | 2007-12-18 |
Last Update Date | 2008-01-28 |