NPI | 1639267313 |
---|---|
Doing Business As | IRONWOOD VISION CENTER |
Entity Type | Organization |
Authorized Contact | DANIEL NYLE GARN President/Owner 208-765-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2006-10-10 |
Last Update Date | 2022-07-26 |