| NPI | 1578736054 |
|---|---|
| Doing Business As | THE VISION STORE |
| Entity Type | Organization |
| Authorized Contact | DEIDRA M CASAUS President 505-771-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2010-04-30 |