NPI | 1619008133 |
---|---|
Doing Business As | VISION CENTER 30-1644 |
Entity Type | Organization |
Authorized Contact | DAVID J. SIMMONS Npi Associate 479-277-9373 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
Additional Taxonomies | 332H00000X Eyewear Supplier |
Enumeration Date | 2007-03-08 |
Last Update Date | 2008-05-07 |