| NPI | 1578714325 |
|---|---|
| Doing Business As | POWELL VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A MCDOWELL Doctor Of Optometry 307-754-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WY 219T) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY 435) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2017-11-07 |