NPI | 1518478130 |
---|---|
Doing Business As | RUSTON EYE & VISION |
Entity Type | Organization |
Authorized Contact | DAVID BRADLEY ANDERS Owner 318-232-6552 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1857-791AT) |
Enumeration Date | 2017-10-23 |
Last Update Date | 2019-03-14 |