NPI | 1619015716 |
---|---|
Doing Business As | HEARTLAND VISION |
Entity Type | Organization |
Authorized Contact | DARREN THOMAS HORNDASCH President CEO 262-432-2005 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2007-02-01 |
Last Update Date | 2022-08-23 |