| NPI | 1447330659 |
|---|---|
| Doing Business As | COMMUNITY VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | RANDY WAYNE MOSS Optometrist 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 |