NPI | 1447330659 |
---|---|
Doing Business As | COMMUNITY VISION CENTER |
Entity Type | Organization |
Authorized Contact | RANDY WAYNE MOSS O PT Ometrist Owner 870-246-6877 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2140) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2007-12-27 |