| NPI | 1457435612 |
|---|---|
| Other Name | VISION OPTIQUE C21 |
| Entity Type | Organization |
| Authorized Contact | RODERICK A GRUENIG President 985-727-9948 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-11-21 |