NPI | 1497883698 |
---|---|
Doing Business As | VISION CENTER 3417 |
Entity Type | Organization |
Authorized Contact | DAVID J. SIMMOMS Npi Associte 479-277-9373 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
Additional Taxonomies | 332H00000X Eyewear Supplier |
Enumeration Date | 2007-03-01 |
Last Update Date | 2020-08-22 |