| NPI | 1497935829 |
|---|---|
| Former Legal Business Name | CRATER VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK E MOORE Owner 804-732-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2017-07-06 |