NPI | 1629840319 |
---|---|
Doing Business As | LEGACY VISION |
Entity Type | Organization |
Authorized Contact | TROY HUMPHREYS CEO/Owner 775-287-0295 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2023-10-25 |
Last Update Date | 2024-10-09 |