| NPI | 1538448592 |
|---|---|
| Doing Business As | TREASURE STATE EYECARE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM VINCENT Optometrist 307-679-6832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MT 825) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |