NPI | 1639264427 |
---|---|
Doing Business As | REDWOOD VISION CENTER |
Entity Type | Organization |
Authorized Contact | KERRY A. OKELBERRY President 801-268-0866 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: UT 1125139934) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2014-02-05 |