| NPI | 1588608822 |
|---|---|
| Doing Business As | CASA GRANDE VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | PAUL T WILSON Pres 520-836-9606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 256) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2011-10-26 |