NPI | 1639929144 |
---|---|
Doing Business As | TRIA VISION PHYSICIAN GROUP, LLC |
Entity Type | Organization |
Authorized Contact | JASON SWANNER Authorized Official 205-876-8988 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2024-03-26 |
Last Update Date | 2024-06-14 |