| NPI | 1467697862 |
|---|---|
| Doing Business As | EYE CARE SPECIALISTS OF GREEN RIVER |
| Entity Type | Organization |
| Authorized Contact | CHARLES R VANDERVORT President 307-875-4538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WY 101T) |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2010-08-11 |