| NPI | 1609075696 |
|---|---|
| Doing Business As | VISION CITY OF LAKE WORTH |
| Entity Type | Organization |
| Authorized Contact | TRINA LIESKE Owner 817-546-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2021-12-28 |