| NPI | 1558127977 |
|---|---|
| Doing Business As | FAMILY VISION OF CRESTVIEW |
| Entity Type | Organization |
| Authorized Contact | DAVID COX Manager 503-313-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |