| NPI | 1417734062 |
|---|---|
| Doing Business As | STARKVILLE VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | TAMMY WOMBLE Credentialing 626-446-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |